Organization Active NPI

Orlando Fonseca, MD, PLLC

  • Primary Care Clinic/Center
  • Houston, TX
National Provider Identifier
1902048358
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
M6133 Issued in TX
Legal business name
ORLANDO FONSECA, MD, PLLC
Practice address
9190 Katy Fwy
Suite 201
Houston, TX 77055-7455
Phone
(713) 464-1919
NPI assigned
Mar 31, 2009
Last updated
Jun 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Authorized official

Name
Dr. Orlando Fonseca, M.D.NPI 1992926505
Title
Owner, Internal Medicine Physician
Phone
(713) 464-1919

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X M6133 TX Primary

Addresses

Primary practice location

9190 Katy Fwy
Suite 201
Houston, TX 77055-7455

Mailing address

9190 Katy Fwy Ste 201
Houston, TX 77055-7444
Phone (713) 464-1919

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090501000372 TX Part B Supplier - Clinic/Group Practice 9638227580 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1102389Orlando Fonseca, MD, PLLC9190 Katy Fwy, Suite 201, Houston, TX 77055Certificate of waiverJul 16, 2027

National Provider Directory

National Provider Directory

Locations

9190 Katy Fwy
Ste 201
Houston, TX 77055
Phone (713) 464-1919

Practitioners & affiliated clinicians

Practitioners 1

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": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1902048358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9190 KATY FWY STE 201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770557444",
            "telephone_number": "713-464-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9190 KATY FWY",
            "address_2": "SUITE 201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770557455",
            "telephone_number": "713-464-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO FONSECA, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-31",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_title_or_position": "OWNER, INTERNAL MEDICINE PHYSICIAN",
        "authorized_official_telephone_number": "713-464-1919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "M6133",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.