Individual provider Active NPI

Christopher David Codispoti, MD, PHD

  • Allergy & Immunology (Internal Medicine) Physician
  • Houston, TX
National Provider Identifier
1922219211
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
V3267 Issued in TX
Practice address
6410 Fannin St Ste 720
Houston, TX 77030-5205
Phone
(713) 486-0340
Fax
(713) 486-0350
NPI assigned
May 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X V3267 TX
Allergy & Immunology Physician 207K00000X 036-128987 IL
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 35088749 OH
Allergy & Immunology (Internal Medicine) Physician 207RA0201X V3267 TX Primary

Addresses

Primary practice location

6410 Fannin St Ste 720
Houston, TX 77030-5205

Mailing address

6410 Fannin St Ste 720
Houston, TX 77030-5205
Phone (713) 486-0340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111019000826 IL Practitioner - Allergy/ImmunologyPractitioner - Internal MedicinePractitioner - Pediatric Medicine 2769654565 Reassigns benefits to 2 organizations
I20240906001390 TX Practitioner - Allergy/Immunology 2769654565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Cincinnati College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

6410 Fannin St
Houston, TX 77030-3000

6410 Fannin St
Houston, TX 77030-3005

6411 Fannin St
Houston, TX 77030-1501
Phone (713) 704-0093

6431 Fannin St
MSB2.100
Houston, TX 77030-1501
Phone (713) 500-7700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-128987ILMDAllergy & Immunology Physician
V3267TXMDAllergy & Immunology Physician
35088749OHMDAllergy & Immunology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County Current Accepting new patients
Ut Physicians CurrentSince Aug 16, 2024 Accepting new patients
Ut Physicians CurrentSince Aug 16, 2024 Accepting new patients
Rush University Medical Group CurrentSince Oct 1, 2018 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

75 Remittance Dr
Dept 1611
Chicago, IL 60675

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

1725 W Harrison St
Ste 117
Chicago, IL 60612
Phone (312) 942-6292

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

6500 West Loop S
Ste 200F
Bellaire, TX 77401
Phone (713) 486-2900

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6410 Fannin St
Ste 720
Houston, TX 77030
Phone (713) 486-0340

6410 Fannin St
#135
Houston, TX 77030

Interoperability endpoints

  • Direct secure messaging: ccodispoti48375@direct.rush.rush-health.com

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1922219211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST STE 720",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770305205",
            "telephone_number": "713-486-0340",
            "fax_number": "713-486-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST STE 720",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770305205",
            "telephone_number": "713-486-0340",
            "fax_number": "713-486-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODISPOTI",
        "first_name": "CHRISTOPHER",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "V3267",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "036-128987",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "OH",
            "license": "35088749",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "TX",
            "license": "V3267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.