Individual provider Active NPI

Teodulo E Aves, MD

  • Anesthesiology Physician
  • Houston, TX
National Provider Identifier
1881689818
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
H7874 Issued in TX
Practice address
4615 Southwest Fwy Ste 120
Houston, TX 77027-7241
Phone
(832) 767-2280
NPI assigned
Sep 15, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X H7874 TX Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X H7874 TX

Addresses

Primary practice location

4615 Southwest Fwy Ste 120
Houston, TX 77027-7241

Mailing address

PO Box 3856
Houston, TX 77253-3856

Other identifiers 5

IdentifierTypeStateIssuer
050059420OtherTXRAILROAD MEDICARE
R0089759OtherTXDPS
89680JOtherTXBLUE CROSS BLUE SHIELD
134391502MedicaidTX
512748616OtherTXTRICARE

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
I20080327000047 TX Practitioner - AnesthesiologyPractitioner - Pain Management 3072409853 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ta Medical Associates PLLC Pain Medicine CurrentSince Apr 1, 2023 Accepting new patients
Texans Anesthesia Associates PLLC Anesthesiology CurrentSince Aug 20, 2007 Accepting new patients
Dynamic Anesthesia Providers PLLC Anesthesiology CurrentSince Feb 1, 2018 Accepting new patients
Northwest Anesthesiology & Pain Services, P.a. Anesthesiology CurrentSince Sep 1, 2018 Accepting new patients
Taa Urgent Care Center, PLLC Current Accepting new patients
Anesthesiology Consultants of Houston PLLC Anesthesiology PastSince Mar 20, 1998 Accepting new patients
Lonestar Spine & Pain Consultants, PLLC Pain Medicine Past Accepting new patients

Locations

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

4615 Southwest Fwy
Ste 120
Houston, TX 77027
Phone (281) 475-4428

4615 Southwest Fwy
Ste 850
Houston, TX 77027
Phone (281) 475-4428

5420 Dashwood Dr
Ste 103
Houston, TX 77081
Phone (713) 661-9550

7010 Champions Plaza Dr
Ste 300
Houston, TX 77069
Phone (832) 698-5320

7010 Champions Plaza Dr
Ste 400
Houston, TX 77069
Phone (832) 698-5320

8850 Long Point Rd
Houston, TX 77055
Phone (713) 467-6555

9525 Katy Fwy
Ste 130
Houston, TX 77024

1485 FM 1960 Bypass Rd E
Ste 260
Humble, TX 77338
Phone (281) 640-2199

26710 Interstate 45
Ste B
Spring, TX 77386
Phone (281) 419-1117

15300 Southwest Fwy
Ste 100
Sugar Land, TX 77478
Phone (281) 274-6670

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27020/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1881689818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3856",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772533856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 SOUTHWEST FWY STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277241",
            "telephone_number": "832-767-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVES",
        "first_name": "TEODULO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2023-03-07",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "H7874",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "H7874",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050059420",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "R0089759",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "89680J",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134391502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "512748616",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.