Individual provider Active NPI

Nicolas Phoebus Xydas, M.D.

  • Gynecology Physician
  • Houston, TX
National Provider Identifier
1922034669
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
J7734 Issued in TX
Practice address
6500 North Fwy
Houston, TX 77076-2941
Phone
(713) 695-0002
Fax
(713) 695-0101
NPI assigned
Jun 24, 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
Gynecology Physician 207VG0400X J7734 TX Primary

Addresses

Primary practice location

6500 North Fwy
Houston, TX 77076-2941

Mailing address

6500 North Fwy #110
Houston, TX 77076-2941
Phone (713) 695-0002

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
I20060501000738 TX Practitioner - Obstetrics/GynecologyPractitioner - Hospitalist 7719997089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Hospitalist
Education
University of Texas Southwestern Medical School at Dallas, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6500 N Fwy
Suite 110
Houston, TX 77076-2941
Phone (713) 695-0002

Hospital & facility affiliations

  • HCA Houston Healthcare Northwest Hospital, Houston, TX, CCN 450638

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Nicolas Xydas Womens Center PA Gynecology CurrentSince Jul 17, 2006 Accepting new patients
Houston Northwest Operating Company, LLC Past Accepting new patients

Locations

6500 North Fwy
Ste 110
Houston, TX 77076
Phone (713) 695-0002

Organizations & group practices 2

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 1

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922034669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 NORTH FWY #110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770762941",
            "telephone_number": "713-695-0002",
            "fax_number": "713-695-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 NORTH FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770762941",
            "telephone_number": "713-695-0002",
            "fax_number": "713-695-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XYDAS",
        "first_name": "NICOLAS",
        "middle_name": "PHOEBUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "J7734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.