Individual provider Active NPI

Laura Murphy Fertak, PAC

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1982604658
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00454 Issued in TX
Practice address
6550 Fannin St
Suite 2600
Houston, TX 77030-2717
Phone
(713) 441-3595
Fax
(713) 793-7107
NPI assigned
Jul 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA00454 TX
Physician Assistant 363A00000X PA00454 TX Primary

Addresses

Primary practice location

6550 Fannin St
Suite 2600
Houston, TX 77030-2717

Mailing address

6550 Fannin St
Suite 2600
Houston, TX 77030-2717
Phone (713) 441-3595

Other identifiers 11

IdentifierTypeStateIssuer
331502001MedicaidTX
616771101OtherUS DEPT OF LABOR
616771105OtherUS DEPT OF LABOR
1982604658OtherTXBLUE CROSS BLUE SHIELD
8Y0159OtherTXBCBS
P00369474OtherTXMEDICARE RAILROAD
P01170506OtherTXRR MEDICARE
331502002MedicaidTX
601771109OtherUS DEPT OF LABOR
616771110OtherUS DEPT OF LABOR
86N043OtherBCBSTX

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060209000728 TX Practitioner - Physician Assistant 8729093893 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians

Practice addresses (Care Compare)

Houston, TX 77024
Phone (832) 522-8720

5505 W Loop S
Suite 100
Houston, TX 77081-2206
Phone (713) 441-9000

6445 Main St
Houston, TX 77030-1502

6445 Main St Opc
Houston, TX 77030-1502

6565 Fannin St
Houston, TX 77030-2703

6565 Fannin St Main
577 Methodist Acad Med Assoc
Houston, TX 77030-2703
Phone (713) 441-0428

7575 San Felipe St
Suite 155
Houston, TX 77063-1777
Phone (713) 266-9955

9090 Katy Fwy
Suite 200
Houston, TX 77024-1696
Phone (713) 363-8016

Hospital & facility affiliations

  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358
  • Houston Methodist Clear Lake Hospital Hospital, Nassau Bay, TX, CCN 450709
  • Houston Methodist West Hospital Hospital, Houston, TX, CCN 670077
  • Houston Methodist Sugarland Hospital Hospital, Sugar Land, TX, CCN 450820
  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA00454TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Jul 19, 2016 Accepting new patients
Houston Methodist Specialty Physicians CurrentSince Sep 2, 2025 Accepting new patients
TMH Physician Associates PLLC CurrentSince Jul 19, 2016 Accepting new patients
TMH Physician Organization Past Accepting new patients
Tmhpo Orthopedics Department Past Accepting new patients
Houston Methodist Past Accepting new patients

Locations

2610 N Alexander Dr
Ste 201
Baytown, TX 77520
Phone (281) 427-6363

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

6550 Fannin St
Ste 2600
Houston, TX 77030
Phone (713) 441-2663

5505 West Loop S
Ste 100
Houston, TX 77081
Phone (346) 238-1900

6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633

6550 Fannin St
Ste 1150
Houston, TX 77030
Phone (713) 441-2670

6445 Main St
Ste 2500
Houston, TX 77030
Phone (713) 441-3150

8603 Broadway St
Ste 103
Pearland, TX 77584
Phone (281) 485-4770

16811 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 275-0450

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Interoperability endpoints

  • Direct secure messaging: lmurphyfertak20813@directhoustonmethodist.org

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1982604658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST",
            "address_2": "SUITE 2600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302717",
            "telephone_number": "713-441-3595",
            "fax_number": "713-793-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST",
            "address_2": "SUITE 2600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302717",
            "telephone_number": "713-441-3595",
            "fax_number": "713-793-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERTAK",
        "first_name": "LAURA",
        "middle_name": "MURPHY",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA00454",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA00454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331502001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "616771101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "616771105",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1982604658",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8Y0159",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00369474",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01170506",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331502002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "601771109",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "616771110",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "86N043",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.