Individual provider Active NPI

Mekonen Tekle Weldeghbriel

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1831662816
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140081 Issued in TX
Practice address
11503 Southwest Fwy
Ste C
Houston, TX 77031-3627
Phone
(832) 335-4213
NPI assigned
Jan 2, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP140081 TX Primary

Addresses

Primary practice location

11503 Southwest Fwy
Ste C
Houston, TX 77031-3627

Mailing address

11503 Southwest Fwy
Ste C
Houston, TX 77031-3627
Phone (832) 335-4213

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
I20200214000296 TX Practitioner - Nurse Practitioner 2264868140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Z Affordable Urgent Care LLCGroup PAC ID 1355777236, 2 clinicians

Practice addresses (Care Compare)

11503 Southwest Fwy
Suite C
Houston, TX 77031-3627
Phone (832) 335-4213

Hospital & facility affiliations

  • Riceland Medical Center Hospital, Winnie, TX, CCN 451328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Z Affordable Urgent Care LLC CurrentSince Jan 1, 2020 Accepting new patients

Locations

11503 Southwest Fwy
Ste C
Houston, TX 77031
Phone (832) 335-4213

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.

Hospital & facility affiliations 1

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": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1831662816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11503 SOUTHWEST FWY",
            "address_2": "STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770313627",
            "telephone_number": "832-335-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11503 SOUTHWEST FWY",
            "address_2": "STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770313627",
            "telephone_number": "832-335-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELDEGHBRIEL",
        "first_name": "MEKONEN",
        "middle_name": "TEKLE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-02",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.