Augusto Chiriboga, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

ME95175 Issued in FL

Practice address

2411 Fountain View Dr
Suite 200
Houston, TX 77057-4817

Phone

(713) 620-4000

NPI assigned

Jul 25, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

Practice roles

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.

• Mission Doctors Group

  dba Mission Heart and Vascular

  • Interventional Cardiology Physician
  • Mission, TX
  • NPI 1700893849
  NPD (past)
• Regional Employee Assistance Program Inc

  • Cardiovascular Disease Physician
  • Abilene, TX
  • NPI 1073575585
  NPD (past)
• Regional Employee Assistance Program Inc

  • Family Medicine Physician
  • Corsicana, TX
  • NPI 1649232984
  NPD (past)
• Anesthetix of Bradford, LLC

  • Anesthesiology Physician
  • Bradford, PA
  • NPI 1982637997

  Pain Medicine

  NPD (past)
• County Wide Anesthesia Group, LLC

  • Specialist
  • Paterson, NJ
  • NPI 1568465979
  NPD (past)
• Medical & Diagnostic Clinic,LLC

  • Medical Specialty Clinic/Center
  • Baton Rouge, LA
  • NPI 1306183645
  NPD (past)
• Mercy Tyler Health Systems

  • Surgery Physician
  • Tunkhannock, PA
  • NPI 1881616985
  NPD (past)
• Mercy Tyler Hospital

  • General Acute Care Hospital
  • Tunkhannock, PA
  • NPI 1386667533
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1982627428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 FOUNTAIN VIEW DR",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770574817",
            "telephone_number": "713-620-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 FOUNTAIN VIEW DR",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770574817",
            "telephone_number": "713-620-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIRIBOGA",
        "first_name": "AUGUSTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME95175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8BN298",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139162518",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Chipman
• Cristina Margarita Chipriano, LCSW-S
• Karthik Chirala, M.D.
• Violeta Chirala, OTRT/L
• Jayne Chirdo Taylor, PA-C
• David Chiriboga, D.C.
• Melissa Ann Chiriboga, LPC ASSOCIATE
• Mikaella Chiriboga
• Dara L Chirino
• Chiro 1St Rehabilitation, P.a.

• Pain Medicine (Anesthesiology) Physician in Houston, TX
• Providers in Houston, TX by specialty
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.