Individual provider Active NPI

Roger C Willette, M.D.

  • Specialist
  • Houston, TX
National Provider Identifier
1831138445
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G6771 Issued in TX
Practice address
1051 Pineloch Dr Ste 600
Houston, TX 77062-2738
Phone
(281) 990-9979
NPI assigned
Jun 6, 2006
Last updated
Jul 27, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G6771 TX Primary

Addresses

Primary practice location

1051 Pineloch Dr Ste 600
Houston, TX 77062-2738

Mailing address

1051 Pineloch Dr Ste 600
Houston, TX 77062-2738
Phone (281) 990-9979

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040930001112 TX Practitioner - Internal Medicine 8426027921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Baylor College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aslam Loya MD PAGroup PAC ID 7113972233, 8 clinicians

Practice addresses (Care Compare)

150 E Medical Ctr Blvd
Suite D
Webster, TX 77598-4373
Phone (281) 464-8484

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Aslam Loya, M.D. P.a CurrentSince Mar 6, 2017 Accepting new patients
Pineloch Emergency Care Past Accepting new patients
Roger C Willette MD; PA Specialist Past Accepting new patients

Locations

1051 Pineloch Dr
Ste 600
Houston, TX 77062
Phone (281) 990-9979

11920 Astoria Blvd
Ste 110
Houston, TX 77089
Phone (281) 464-8484

150 E Medical Center Blvd
Ste D
Webster, TX 77598
Phone (281) 464-8484

Interoperability endpoints

  • Direct secure messaging: rwillette67072@memorialhermann.direct-ci.com

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1831138445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 PINELOCH DR STE 600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770622738",
            "telephone_number": "281-990-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 PINELOCH DR STE 600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770622738",
            "telephone_number": "281-990-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLETTE",
        "first_name": "ROGER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "G6771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.