Individual provider Active NPI

David A Altamira, M.D.

  • Specialist
  • Houston, TX
National Provider Identifier
1881693307
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H9750 Issued in TX
Practice address
7789 Southwest Fwy
Ste. 300
Houston, TX 77074-1802
Phone
(713) 271-9000
Fax
(713) 271-8700
NPI assigned
Jul 18, 2005
Reactivated
Mar 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X H9750 TX Primary

Addresses

Primary practice location

7789 Southwest Fwy
Ste. 300
Houston, TX 77074-1802

Mailing address

PO Box 66545
Houston, TX 77266-6545
Phone (713) 271-9000

Other identifiers 1

IdentifierTypeStateIssuer
0053CROtherTXBC/BS

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
I20060329000147 TX Practitioner - Plastic and Reconstructive Surgery 0446268767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Baylor College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

929 Gessner Rd
Suite 2430
Houston, TX 77024-2589
Phone (713) 271-9000

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy15
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H9750TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
David Altamira MD PA Specialist CurrentSince Oct 9, 2000 Accepting new patients

Locations

7789 Southwest Fwy
Ste 300
Houston, TX 77074
Phone (281) 994-7403

7777 Southwest Fwy
Ste 640
Houston, TX 77074
Phone (713) 270-0477

7777 Southwest Fwy
Ste 716
Houston, TX 77074
Phone (713) 271-9000

929 Gessner Rd
Ste 2430
Houston, TX 77024
Phone (713) 271-9000

Interoperability endpoints

  • Direct secure messaging: daltamira26143@memorialhermann.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881693307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66545",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772666545",
            "telephone_number": "713-271-9000",
            "fax_number": "713-271-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7789 SOUTHWEST FWY",
            "address_2": "STE. 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741802",
            "telephone_number": "713-271-9000",
            "fax_number": "713-271-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTAMIRA",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2007-07-08",
        "deactivation_date": "2006-03-18",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H9750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0053CR",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.