Active NPI
Idoc Telehealth Solutions, Inc
- Critical Care Medicine (Internal Medicine) Physician
- Houston, TX
National Provider Identifier
1851783534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- Legal business name
- IDOC TELEHEALTH SOLUTIONS, INC
- Practice address
- 2311 W Main St
Houston, TX 77098-3218 - Phone
- (303) 922-4636
- Fax
- (303) 648-4534
- NPI assigned
- Mar 4, 2015
- Last updated
- Aug 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Evette Lewis
- Title
- Practice Manager
- Phone
- (503) 421-5124
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | |||
| Specialist | 174400000X | 254411 | MA | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | |||
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | Primary | ||
| Neurocritical Care Physician | 2084A2900X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
2311 W Main St
Houston, TX 77098-3218
Mailing address
4635 Southwest Fwy Ste 525
Houston, TX 77027-7157
Phone (713) 234-4431
Other practice location 1
675 Vfw Pkwy
363
Chestnut Hill, MA 02467-3656
Phone (617) 981-3064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 44
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.
-
- Gerontology Nurse Practitioner
- Houston, TX
- NPI 1346531100
-
- Anesthesiology Physician
- Houston, TX
- NPI 1629283775
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1326019068
Critical Care Medicine, TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724198400000",
"number": "1851783534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4635 SOUTHWEST FWY STE 525",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770277157",
"telephone_number": "713-234-4431",
"fax_number": "877-712-5707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2311 W MAIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770983218",
"telephone_number": "303-922-4636",
"fax_number": "303-648-4534"
}
],
"practiceLocations": [
{
"address_1": "675 Vfw Pkwy",
"address_2": "363",
"address_purpose": "LOCATION",
"city": "Chestnut Hill",
"state": "MA",
"postal_code": "024673656",
"country_code": "US",
"telephone_number": "617-981-3064",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "IDOC TELEHEALTH SOLUTIONS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-04",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "EVETTE",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "503-421-5124"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "MA",
"license": "254411",
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084A2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"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 Aug 21, 2024; 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.