Organization Active NPI

William F Buitrago MD PLLC

  • Medical Specialty Clinic/Center
  • Baytown, TX
National Provider Identifier
1972072304
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
WILLIAM F BUITRAGO MD PLLC
Practice address
821 Sharon LN
Baytown, TX 77521-9693
Phone
(832) 360-4411
Fax
(832) 558-4544
NPI assigned
Nov 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Ciarah Buitrago
Title
Administrator
Phone
(832) 360-4411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

821 Sharon LN
Baytown, TX 77521-9693

Mailing address

PO Box 130455
Houston, TX 77219-0455

Other identifiers 1

IdentifierTypeStateIssuer
1376856948OtherINDIVIDUAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181121000659 TX Part B Supplier - Clinic/Group Practice 5890049233 Receives reassigned benefits from 1 practitioner
Practice locations: Baytown, TX

National Provider Directory

National Provider Directory

Locations

821 Sharon Ln
Baytown, TX 77521
Phone (832) 360-4411

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": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1972072304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130455",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772190455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 SHARON LN",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775219693",
            "telephone_number": "832-360-4411",
            "fax_number": "832-558-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM F BUITRAGO MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "BUITRAGO",
        "authorized_official_first_name": "CIARAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-360-4411"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1376856948",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.