Active NPI
Virgilio C Carandang, MD
- Family Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- F0915
- Practice address
- 1631 North Loop West
Suite 430
Houston, TX 77008 - Phone
- (713) 864-7633
- NPI assigned
- Jun 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F0915 | TX | Primary |
Addresses
Primary practice location
1631 North Loop West
Suite 430
Houston, TX 77008
Mailing address
1631 North Loop West
Suite 430
Houston, TX 77008
Phone (713) 864-7633
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0811551 | Other | AETNA | |
| 10017569 | Other | AMERIGROUP | |
| 140120008 | Medicaid | TX | |
| 000000EE59 | Other | TX | BLUE CROSS BLUE SHIELD |
| 192108092836 | Other | HUMANA | |
| 751590503 | Other | FEDERAL TAX ID |
Other names 1
- Dr. Virgil C Carandang
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100824000619 | TX | Practitioner - Family Practice | 1951463280 | Practice locations: Houston, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hermann Medical Group | Family Medicine | Past | Accepting new patients |
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Acc Health Services, Inc | Home health agency | 5% Or Greater Indirect Ownership Interest (33.33%) | May 1, 2001 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Houston, TX
- NPI 1609909100
5% Or Greater Indirect Ownership Interest
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Fulshear, TX
- NPI 1003985102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821037250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1631 NORTH LOOP WEST",
"address_2": "SUITE 430",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77008",
"telephone_number": "713-864-7633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 NORTH LOOP WEST",
"address_2": "SUITE 430",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77008",
"telephone_number": "713-864-7633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARANDANG",
"first_name": "VIRGILIO",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "F0915",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0811551",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10017569",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "140120008",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000EE59",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "192108092836",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID",
"identifier": "751590503",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VIRGIL",
"last_name": "CARANDANG",
"middle_name": "C",
"prefix": "DR.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.