Active NPI
Roger C Willette, M.D.
- Specialist
- Houston, TX
National Provider Identifier
1831138445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G6771
- Practice address
- 1051 Pineloch Dr Ste 600
Houston, TX 77062-2738 - Phone
- (281) 990-9979
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 097810801 | Medicaid | TX |
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 |
|---|---|---|---|---|
| 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 PA
Practice addresses (Care Compare)
150 E Medical Ctr Blvd
Suite D
Webster, TX 77598-4373
Phone (281) 464-8484
Hospital & facility affiliations
- HCA Houston Healthcare Clear Lake
- Memorial Hermann Hospital System
- Houston Methodist Clear Lake Hospital
- University of Texas Medical Branch Galveston
- Memorial Hermann Houston Physicians Hospital
- Pam Rehabilitation Hospital of Clear Lake
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G6771 | TX | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aslam Loya, M.D. P.a | Current | 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) 464-8484
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
- rwillette67072@memorialhermann.direct-ci.com
Organizations & group practices 3
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.
-
- Clinic/Center
- Houston, TX
- NPI 1265666754
-
- Specialist
- Houston, TX
- NPI 1679734628
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Webster, TX
- NPI 1861882532
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Galveston, TX
- NPI 1548226988
Hospital
-
- General Acute Care Hospital
- Webster, TX
- NPI 1285699835
Hospital
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "097810801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}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 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.