Active NPI
Anthony Augustine Dinovo, M.D.
- Primary Care Clinic/Center
- Pearland, TX
National Provider Identifier
1902098924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- K2327
- Practice address
- 3223 Broadway St
Pearland, TX 77581-4501 - Phone
- (281) 485-9034
- NPI assigned
- Aug 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | K2327 | TX | Primary |
Addresses
Primary practice location
3223 Broadway St
Pearland, TX 77581-4501
Mailing address
3220 Autumn CT
Pearland, TX 77584-7126
Phone (281) 755-5048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G48869 | Other | UPIN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K2327 | TX | MD | Primary Care Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Street Hospital, LP | Past | Accepting new patients | |
| Alvin Community Health Endeavor | Past | Accepting new patients | |
| Orsak Medical Association | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Alvin, TX
- NPI 1144234501
-
dba First Surgical Hospital
- General Acute Care Hospital
- Bellaire, TX
- NPI 1093818007
-
dba Friendswood Family Medicine
- Family Medicine Physician
- Friendswood, TX
- NPI 1407079585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1902098924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 AUTUMN CT",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847126",
"telephone_number": "281-755-5048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3223 BROADWAY ST",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775814501",
"telephone_number": "281-485-9034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINOVO",
"first_name": "ANTHONY",
"middle_name": "AUGUSTINE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-14",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "TX",
"license": "K2327",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "G48869",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.