Organization Active NPI

Anthony J. Muffoletto, MD PA

  • Orthopaedic Surgery of the Spine Physician
  • Houston, TX
National Provider Identifier
1841667805
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
ANTHONY J. MUFFOLETTO, MD PA
Practice address
1110 Nasa Pkwy Ste 307
Houston, TX 77058-3345
Phone
(832) 864-3047
NPI assigned
Aug 26, 2015
Last updated
Nov 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Authorized official

Name
Anthony Joseph Muffoletto, MDNPI 1992817993
Title
Physician/Owner
Phone
(832) 864-3407

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X NU Primary

Addresses

Primary practice location

1110 Nasa Pkwy Ste 307
Houston, TX 77058-3345

Mailing address

1110 Nasa Pkwy Ste 307
Houston, TX 77058-3345
Phone (832) 864-3047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151116001772 TX Part B Supplier - Clinic/Group Practice 8628388923 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

1110 Nasa Pkwy
Ste 307
Houston, TX 77058
Phone (832) 864-3047

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1841667805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 NASA PKWY STE 307",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583345",
            "telephone_number": "832-864-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 NASA PKWY STE 307",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583345",
            "telephone_number": "832-864-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY J. MUFFOLETTO, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "MUFFOLETTO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "832-864-3407",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.