Organization Active NPI

Houston Gastroenterology Associates

  • Specialist
  • Katy, TX
National Provider Identifier
1942406889
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
HOUSTON GASTROENTEROLOGY ASSOCIATES
Practice address
21316 Provincial Blvd
Katy, TX 77450-7580
Phone
(281) 647-6667
Fax
(281) 647-6610
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Authorized official

Name
Spencer C.Y. Li, MDNPI 1467433011
Title
MD
Phone
(281) 647-6667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

21316 Provincial Blvd
Katy, TX 77450-7580

Mailing address

21316 Provincial Blvd
Katy, TX 77450-7580
Phone (281) 647-6667

Other names 1

  • Craig S. Gordon, M.D. Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address spencercli@sbcglobal.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040728000353 TX Part B Supplier - Clinic/Group Practice 1951371962 Receives reassigned benefits from 1 practitioner
Practice locations: Katy, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2309681Houston Gastroenterology Associates21316 Provincial Blvd, Katy, TX 77450ComplianceMar 19, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

915 Gessner Rd
Ste 625
Houston, TX 77024
Phone (713) 461-7091

701 S Fry Rd
Ste 220
Katy, TX 77450
Phone (281) 647-6667

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1942406889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21316 PROVINCIAL BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507580",
            "telephone_number": "281-647-6667",
            "fax_number": "281-647-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21316 PROVINCIAL BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507580",
            "telephone_number": "281-647-6667",
            "fax_number": "281-647-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON GASTROENTEROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "C.Y.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "281-647-6667",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spencercli@sbcglobal.net",
            "affiliation": "N",
            "endpointDescription": "EHR Communication",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21316 Provincial Blvd",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774507580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Craig S. Gordon, M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.