Organization Active NPI

Gerid Medical Consultants, P.L.L.C.

Doing business as GerID Medical Consultants

  • Specialist
  • Katy, TX
National Provider Identifier
1881991164
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
M2537 Issued in TX
Legal business name
GERID MEDICAL CONSULTANTS, P.L.L.C.
Doing business as
GerID Medical Consultants
Practice address
20710 Westheimer Pkwy
Katy, TX 77450-6064
Phone
(832) 600-0190
Fax
(832) 600-0190
NPI assigned
Feb 22, 2011
Last updated
Oct 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Authorized official

Name
Dr. Roberto Andrade, M.D.NPI 1508946922
Title
President
Phone
(832) 600-0190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X L7302 TX
Specialist 174400000X M2537 TX Primary

Addresses

Primary practice location

20710 Westheimer Pkwy
Katy, TX 77450-6064

Mailing address

23122 Starlight Beach Rd
Katy, TX 77494-0404
Phone (832) 600-0190

Other names 1

  • GerID Medical Consultants Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111101000440 TX Part B Supplier - Clinic/Group Practice 5395918635 Receives reassigned benefits from 3 practitioners
Practice locations: Katy, TX

National Provider Directory

National Provider Directory

Locations

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

1740 W 27th St
Ste 321
Houston, TX 77008
Phone (713) 389-8875

Practitioners & affiliated clinicians

Practitioners 4

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": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1881991164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23122 STARLIGHT BEACH RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774940404",
            "telephone_number": "832-600-0190",
            "fax_number": "832-437-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20710 WESTHEIMER PKWY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774506064",
            "telephone_number": "832-600-0190",
            "fax_number": "832-600-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERID MEDICAL CONSULTANTS, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "ANDRADE",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-600-0190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L7302",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "M2537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GerID Medical Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.