Organization Active NPI

Houston Health & Sports Medicine

  • Sports Medicine (Family Medicine) Physician
  • Shenandoah, TX
National Provider Identifier
1942955265
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
HOUSTON HEALTH & SPORTS MEDICINE
Practice address
9180 Pinecroft Dr # 390
Shenandoah, TX 77380-2794
Phone
(281) 939-5655
NPI assigned
Feb 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Authorized official

Name
Dominic Maneen, DONPI 1447785449
Title
Physician
Phone
(832) 655-4774

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
Sports Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QS0010X Primary

Addresses

Primary practice location

9180 Pinecroft Dr # 390
Shenandoah, TX 77380-2794

Mailing address

742 Saddlewood Cir
Shenandoah, TX 77381-1038

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.mhhnp.org/mhmd/join_resouces.html

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220425002583 TX Part B Supplier - Clinic/Group Practice 6305233164 Receives reassigned benefits from 2 practitioners
Practice locations: Shenandoah, TX

National Provider Directory

National Provider Directory

Locations

9180 Pinecroft Dr
Ste 390
Shenandoah, TX 77380
Phone (281) 939-5655

Practitioners & affiliated clinicians

Practitioners 3

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": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1942955265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 SADDLEWOOD CIR",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773811038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9180 PINECROFT DR # 390",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773802794",
            "telephone_number": "281-939-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON HEALTH & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "MANEEN",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "832-655-4774",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.mhhnp.org/mhmd/join_resouces.html",
            "affiliation": "N",
            "address_1": "9180 Pinecroft Dr # 390",
            "city": "Shenandoah",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773802794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.