NPIMap

Individual provider Active NPI

Eric Kleinbaum, M.D.

  • Hematology & Oncology Physician
  • Houston, TX
National Provider Identifier
1932140159
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
L5795 Issued in TX
Practice address
17323 Red Oak Dr
Houston, TX 77090-1243
Phone
(281) 440-5006
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X L5795 TX Primary
Specialist 174400000X L5795 TX

Addresses

Primary practice location

17323 Red Oak Dr
Houston, TX 77090-1243

Mailing address

22710 Professional Dr
Ste 102
Kingwood, TX 77339-6009
Phone (281) 358-2850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061011000779 TX Practitioner - Hematology/OncologyPractitioner - Internal Medicine 0143226381 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians

Practice addresses (Care Compare)

135 Vision Park Blvd
Shenandoah, TX 77384-3001
Phone (936) 235-7092

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L5795TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physicians Association, PLLC Hematology & Oncology CurrentSince Aug 1, 2012 Accepting new patients
American Oncology Partners PA Hematology & Oncology CurrentSince Mar 14, 2024 Accepting new patients
Millennium Physicians Association PLLC CurrentSince Aug 1, 2012 Accepting new patients

Locations

603 S Conroe Medical Dr
Ste 100
Conroe, TX 77304
Phone (936) 235-7093

603 S Conroe Medical Dr
Ste 160
Conroe, TX 77304
Phone (936) 235-7093

3201 S Austin Ave
Ste 315
Georgetown, TX 78626
Phone (512) 302-1210

17323 Red Oak Dr
Houston, TX 77090
Phone (281) 440-5006

22710 Professional Dr
Ste 102
Kingwood, TX 77339

22730 Professional Dr
Kingwood, TX 77339
Phone (281) 312-8545

18488 Interstate 45 S
Shenandoah, TX 77384
Phone (281) 315-8130

135 Vision Park Blvd
Shenandoah, TX 77384
Phone (281) 404-3000

18354 Interstate 45 S
Ste 200
Shenandoah, TX 77384
Phone (936) 235-7092

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: eric.kleinbaum@mpa.ikm.direct-ci.com

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.

Hospital & facility affiliations 11

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1932140159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22710 PROFESSIONAL DR",
            "address_2": "STE 102",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396009",
            "telephone_number": "281-358-2850",
            "fax_number": "281-440-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17323 RED OAK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770901243",
            "telephone_number": "281-440-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINBAUM",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "L5795",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L5795",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.