Active NPI
Vladimir Efimovich Kleynerman
- Anesthesiology Physician
- Houston, TX
National Provider Identifier
1891845129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- K0096
- Practice address
- 2411 Fountain View Dr
Suite 200
Houston, TX 77057-4817 - Phone
- (713) 458-4185
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | K0096 | TX | Primary |
Addresses
Primary practice location
2411 Fountain View Dr
Suite 200
Houston, TX 77057-4817
Mailing address
2411 Fountain View Dr Ste 200
Houston, TX 77057-4832
Phone (713) 620-4000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050068763 | Other | TX | RAILROAD - MEDICARE |
| 87583N | Other | TX-BLUE SHIELD | |
| 118043201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Anesthesia Association PA | Anesthesiology | Past | Accepting new patients |
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.
-
- Anesthesiology Physician
- Houston, TX
- NPI 1356395560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193270400000",
"number": "1891845129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 FOUNTAIN VIEW DR STE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770574832",
"telephone_number": "713-620-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 FOUNTAIN VIEW DR",
"address_2": "SUITE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770574817",
"telephone_number": "713-458-4185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEYNERMAN",
"first_name": "VLADIMIR",
"middle_name": "EFIMOVICH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2007-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "K0096",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD - MEDICARE",
"identifier": "050068763",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX-BLUE SHIELD",
"identifier": "87583N",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118043201",
"state": "TX"
}
],
"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 Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.