Individual provider Active NPI

Donald R Nino, MD

  • Family Medicine Physician
  • Channelview, TX
National Provider Identifier
1851384952
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G5432 Issued in TX
Practice address
15055 East Fwy
Suite a-10
Channelview, TX 77530-4144
Phone
(281) 452-4747
Fax
(281) 457-2762
NPI assigned
Aug 24, 2005
Last updated
Jan 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G5432 TX Primary

Addresses

Primary practice location

15055 East Fwy
Suite a-10
Channelview, TX 77530-4144

Mailing address

15055 East Fwy
Suite a-10
Channelview, TX 77530-4144
Phone (281) 452-4747

Other identifiers 5

IdentifierTypeStateIssuer
00QE88OtherTXBC
0354425-02MedicaidTX
1696429-01MedicaidTX
P00122040OtherTXMC RR INDIV
DB6917OtherTXMC RR GROUP

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DONALD.NINO@hca9.eclinicaldirectplus.com

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
I20040507001185 TX Practitioner - Family Practice 9133118805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Houston Primary Care PLLCGroup PAC ID 7315167574, 2 clinicians

Practice addresses (Care Compare)

15055 E Fwy
Channelview, TX 77530-4144
Phone (281) 452-4747

15055 E Fwy
Suite a 10
Channelview, TX 77530-4140
Phone (281) 452-4747

5616 E Sam Houston Pkwy N
Houston, TX 77015-3249
Phone (281) 452-4747

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.31 of 100Reported as individual
Quality
84.62
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Houston Primary Care, PLLC Family Medicine CurrentSince Jun 8, 2014 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

15055 East Fwy
Ste A10
Channelview, TX 77530
Phone (281) 452-4747

15055 East Fwy
Channelview, TX 77530
Phone (281) 452-4747

5616 E Sam Houston Pkwy N
Houston, TX 77015
Phone (281) 452-2299

Interoperability endpoints

  • Direct secure messaging: donald.nino@hca9.eclinicaldirectplus.com

Organizations & group practices 2

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 5

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1851384952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15055 EAST FWY",
            "address_2": "SUITE A-10",
            "city": "CHANNELVIEW",
            "state": "TX",
            "postal_code": "775304144",
            "telephone_number": "281-452-4747",
            "fax_number": "281-457-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15055 EAST FWY",
            "address_2": "SUITE A-10",
            "city": "CHANNELVIEW",
            "state": "TX",
            "postal_code": "775304144",
            "telephone_number": "281-452-4747",
            "fax_number": "281-457-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NINO",
        "first_name": "DONALD",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G5432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "00QE88",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0354425-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1696429-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC RR INDIV",
            "identifier": "P00122040",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC RR GROUP",
            "identifier": "DB6917",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DONALD.NINO@hca9.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "15055 East Fwy",
            "address_2": "SUITE A-10",
            "city": "Channelview",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775304144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Channelview, TX

Sources for this page

Verify at the official NPI Registry.