NPIMap

Individual provider Active NPI

Rafi Sirop Bidros, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Houston, TX
National Provider Identifier
1932373073
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
M8534 Issued in TX
Practice address
929 Gessner Rd Ste 2250
Houston, TX 77024-2664
Phone
(713) 467-0102
Fax
(855) 926-3963
NPI assigned
Apr 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 025605 LA
Emergency Medicine Physician 207P00000X M8534 TX
Surgery Physician 208600000X 025605 LA
Surgery Physician 208600000X M8534 TX
Plastic and Reconstructive Surgery Physician 2086S0122X 025605 LA
Plastic and Reconstructive Surgery Physician 2086S0122X M8534 TX Primary

Addresses

Primary practice location

929 Gessner Rd Ste 2250
Houston, TX 77024-2664

Mailing address

929 Gessner Rd Ste 2250
Houston, TX 77024-2664
Phone (713) 467-0102

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
I20081201000107 TX Practitioner - Plastic and Reconstructive SurgeryPractitioner - General SurgeryPractitioner - Emergency Medicine 0941247506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: General Surgery
Education
Louisiana State University School of Medicine in New Orleans, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10565 Katy Fwy 100
Houston, TX 77024-1008
Phone (713) 405-1211

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy24
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025605LAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sweet Water Emergency Physicians PLLC Emergency Medicine Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1208563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1932373073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 GESSNER RD STE 2250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242664",
            "telephone_number": "713-467-0102",
            "fax_number": "855-926-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 GESSNER RD STE 2250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242664",
            "telephone_number": "713-467-0102",
            "fax_number": "855-926-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDROS",
        "first_name": "RAFI",
        "middle_name": "SIROP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-19",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "025605",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M8534",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "025605",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M8534",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "LA",
            "license": "025605",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "M8534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.