Organization Active NPI

Charles a Amelemah Sole MBR

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1962023747
Registry record updated May 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CHARLES A AMELEMAH SOLE MBR
Practice address
837 Cypress Creek Pkwy Ste 105
Houston, TX 77090-3422
Phone
(281) 453-7158
NPI assigned
May 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2020

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

Authorized official

Name
Charles Amelemah, MDNPI 1356788178
Title
Dr Internal Medicine
Phone
(914) 573-9078

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

837 Cypress Creek Pkwy Ste 105
Houston, TX 77090-3422

Mailing address

2443 FM 1488 Rd Apt 607
Conroe, TX 77384-4938
Phone (832) 960-7130

Other identifiers 1

IdentifierTypeStateIssuer
401831901MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1588464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588464000000",
    "number": "1962023747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2443 FM 1488 RD APT 607",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773844938",
            "telephone_number": "832-960-7130",
            "fax_number": "832-574-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 CYPRESS CREEK PKWY STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903422",
            "telephone_number": "281-453-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES A AMELEMAH SOLE MBR",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-03",
        "last_updated": "2020-05-03",
        "certification_date": "2020-05-03",
        "status": "A",
        "authorized_official_last_name": "AMELEMAH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "DR INTERNAL MEDICINE",
        "authorized_official_telephone_number": "914-573-9078",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401831901",
            "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 May 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.