NPIMap

Organization Active NPI

Allergy & ENT Associates, PLLC

  • Allergy & Immunology Physician
  • Montgomery, TX
National Provider Identifier
1861059016
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ALLERGY & ENT ASSOCIATES, PLLC
Practice address
107 Old River Rd Ste D
Montgomery, TX 77356-2852
Phone
(936) 582-6001
Fax
(936) 582-7001
NPI assigned
May 23, 2019
Last updated
Nov 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Shakari Love
Title
Credentialing Specialist
Phone
(281) 453-4213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X NU Primary

Addresses

Primary practice location

107 Old River Rd Ste D
Montgomery, TX 77356-2852

Mailing address

450 Gears Rd Ste 420
Houston, TX 77067-4529
Phone (281) 453-4211

Other practice location 1

123 Blue Heron Dr Ste 101
Montgomery, TX 77316-3192
Phone (936) 582-6001

Other practice location 2

18059 Highway 105 W Ste 115
Montgomery, TX 77356-5001
Phone (936) 582-6001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040422001617 TX Part B Supplier - Clinic/Group Practice 4688660715 Receives reassigned benefits from 68 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Baytown, TX; Austin, TX; Webster, TX; The Woodlands, TX; Sugar Land, TX; Spring, TX; Richmond, TX; Pearland, TX…

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Allergy ENT Assoc PLLC20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

7599 Garth Rd
Ste 700
Baytown, TX 77521
Phone (281) 425-9313

107 Old River Rd
Ste D
Montgomery, TX 77356
Phone (936) 582-6001

Practitioners & affiliated clinicians

Practitioners 9

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": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1861059016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 GEARS RD STE 420",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770674529",
            "telephone_number": "281-453-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 OLD RIVER RD STE D",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773562852",
            "telephone_number": "936-582-6001",
            "fax_number": "936-582-7001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Blue Heron Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "TX",
            "postal_code": "773163192",
            "country_code": "US",
            "telephone_number": "936-582-6001",
            "fax_number": "936-448-6404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18059 Highway 105 W Ste 115",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "TX",
            "postal_code": "773565001",
            "country_code": "US",
            "telephone_number": "936-582-6001",
            "fax_number": "936-582-7001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLERGY & ENT ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "SHAKARI",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "281-453-4213"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.