Individual provider Active NPI

Chhay H. Tay, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Humble, TX
National Provider Identifier
1962460741
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
L5149 Issued in TX
Practice address
8901 FM 1960 Bypass Rd W
Suite101
Humble, TX 77338-4018
Phone
(281) 446-7173
Fax
(281) 446-3841
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X L5149 TX Primary

Addresses

Primary practice location

8901 FM 1960 Bypass Rd W
Suite101
Humble, TX 77338-4018

Mailing address

8901 FM 1960 Bypass Rd W
Suite 101
Humble, TX 77338-4018
Phone (281) 446-7173

Other identifiers 1

IdentifierTypeStateIssuer
154305001MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090512000044 TX Practitioner - EndocrinologyPractitioner - Internal Medicine 0648328195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Medical College of Wisconsin, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinewood Medical Clinic, PAGroup PAC ID 8022080043, 2 clinicians

Practice addresses (Care Compare)

6318 FM 1488 Rd
Suite 100
Magnolia, TX 77354-2763
Phone (936) 321-3110

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinewood Medical Clinic, PA CurrentSince Aug 3, 2016 Accepting new patients

Locations

6318 FM 1488 Rd
Ste 100
Magnolia, TX 77354
Phone (832) 265-3104

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1962460741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 FM 1960 BYPASS RD W",
            "address_2": "SUITE 101",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384018",
            "telephone_number": "281-446-7173",
            "fax_number": "281-446-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 FM 1960 BYPASS RD W",
            "address_2": "SUITE101",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384018",
            "telephone_number": "281-446-7173",
            "fax_number": "281-446-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAY",
        "first_name": "CHHAY",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "L5149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154305001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.