Individual provider Active NPI

CHI L DO, PA-C

  • Physician Assistant
  • Cypress, TX
National Provider Identifier
1811307390
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09142 Issued in TX
Practice address
10720 Barker Cypress Rd
Cypress, TX 77433-1372
Phone
(281) 345-4800
Fax
(281) 345-4803
NPI assigned
May 6, 2014
Last updated
Dec 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA09142 TX Primary

Addresses

Primary practice location

10720 Barker Cypress Rd
Cypress, TX 77433-1372

Mailing address

10720 Barker Cypress Rd
Cypress, TX 77433-1372
Phone (281) 345-4800

Other names 1

  • Julie C. DO Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150106002322 TX Practitioner - Physician Assistant 2860715414 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nluc PLLCGroup PAC ID 3072752302, 219 clinicians

Practice addresses (Care Compare)

1246 N FM 3083 Rd W
Suite B
Conroe, TX 77304-5340
Phone (281) 783-8162

9722 Gaston Rd
Suite 190
Katy, TX 77494-7945
Phone (281) 783-8162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA09142TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nluc PLLC CurrentSince Sep 1, 2021 Accepting new patients
Next Level MV LLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

7710 Garth Rd
Ste A
Baytown, TX 77521

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

8325 Broadway St
Ste 220
Pearland, TX 77581
Phone (281) 873-8162

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16107 Kensington Dr
Sugar Land, TX 77479
Phone (713) 513-7388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1811307390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10720 BARKER CYPRESS RD",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774331372",
            "telephone_number": "281-345-4800",
            "fax_number": "281-345-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10720 BARKER CYPRESS RD",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774331372",
            "telephone_number": "281-345-4800",
            "fax_number": "281-345-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "CHI",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "DO",
            "middle_name": "C.",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.