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
- 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160125002371 | TX | Part B Supplier - Clinic/Group Practice | 4587967534 |
Receives reassigned benefits from 43 practitioners Practice locations: Houston, TX; Beaumont, TX |
National Provider Directory
National Provider DirectoryLocations
725 Marlandwood Rd
Temple, TX 76502
Phone (512) 277-3345
Practitioners & affiliated clinicians
Practitioners 44
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- 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.