Active NPI
Eric Steven Tait, MD
- Internal Medicine Physician
- Houston, TX
National Provider Identifier
1952323792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- M4575
- Practice address
- 2000 Crawford St
Suite 800
Houston, TX 77002-9011 - Phone
- (713) 651-0870
- Fax
- (713) 651-1239
- NPI assigned
- Jul 24, 2006
- Last updated
- Jun 26, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | M4575 | TX | Primary |
Addresses
Primary practice location
2000 Crawford St
Suite 800
Houston, TX 77002-9011
Mailing address
2000 Crawford St
Suite 800
Houston, TX 77002-9000
Phone (281) 465-0500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 188783801 | Medicaid | TX | |
| 8W2123 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060911000301 | TX | Practitioner - Internal Medicine | 7719981513 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Baylor College of Medicine, 2003
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1315 St Joseph Pkwy
Houston, TX 77002-8292
1401 St Joseph Pkwy
Houston, TX 77002-8301
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M4575 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wharton Emergency Medicine Associates PA | Past | Accepting new patients | |
| Matagorda Emergency Medicine Associates PA | Past | Accepting new patients | |
| Emergency Physicians of Park Hudson PLLC | Past | Accepting new patients | |
| Jefferson Emergency Medicine Associates PA | Past | Accepting new patients | |
| Longhorn Emergency Physicians | Past | Accepting new patients | |
| Pioneer Emergency Medicine Associates PA | Past | Accepting new patients |
Organizations & group practices 6
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.
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- NPI 1750545398
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- NPI 1144280926
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403740800000",
"number": "1952323792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 CRAWFORD ST",
"address_2": "SUITE 800",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770029000",
"telephone_number": "281-465-0500",
"fax_number": "832-381-2062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 CRAWFORD ST",
"address_2": "SUITE 800",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770029011",
"telephone_number": "713-651-0870",
"fax_number": "713-651-1239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAIT",
"first_name": "ERIC",
"middle_name": "STEVEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2014-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "M4575",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "188783801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8W2123",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.