Maryann Miyun Choi I, M.D.
Individual provider Active NPI Geriatric Medicine (Internal Medicine) Physician · College Station, TX
NPI 1982673083 · NPPES record last updated Mar 6, 2024
Key facts
- NPI
- 1982673083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- License
- K9039 (TX)
- Practice address
- 1500 University Dr E Ste 100
College Station, TX 77840-2600 - Phone
- (979) 383-2340
- NPI assigned
- Mar 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Owned or controlled facilities with NPI records 19
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 19
| Facility | Type | Role | Since |
|---|---|---|---|
| Wurzbach Nursing and Rehabilitation |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (99%) | Jan 1, 2020 |
| Trinity Care Center |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (99%) | Jan 1, 2020 |
| Caraday of Houston |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (99%) | Aug 1, 2021 |
| Caraday Home Health |
Home health agency | 5% Or Greater Indirect Ownership Interest (10%) | May 14, 2021 |
| Healthpoint |
Federally qualified health center | Corporate Officer (12%) | Feb 5, 2024 |
| Healthpoint |
Federally qualified health center | Corporate Officer (12%) | Feb 5, 2024 |
| Healthpoint - Madisonville |
Federally qualified health center | Corporate Officer (12%) | Feb 5, 2024 |
| Healthpoint |
Federally qualified health center | Corporate Officer (12%) | Feb 5, 2024 |
| Healthpoint |
Federally qualified health center | Corporate Officer (12%) | Feb 5, 2024 |
| Healthpoint |
Federally qualified health center | Corporate Officer (12%) | Feb 5, 2024 |
| Healthpoint |
Federally qualified health center | Corporate Officer (12%) | Feb 5, 2024 |
| Healthpoint |
Federally qualified health center | Corporate Officer (12%) | Feb 5, 2024 |
| Healthpoint |
Federally qualified health center | Corporate Officer (12%) | Feb 5, 2024 |
| Healthpoint |
Federally qualified health center | Corporate Officer (12%) | Feb 5, 2024 |
| Healthpoint |
Federally qualified health center | Corporate Officer (12%) | Feb 5, 2024 |
| SBHC - Franklin Elementary School |
Federally qualified health center | Corporate Officer (12%) | Feb 5, 2024 |
| SBHC - Franklin Middle School |
Federally qualified health center | Corporate Officer (12%) | Feb 5, 2024 |
| SBHC - Calvert Isd |
Federally qualified health center | Corporate Officer (12%) | Feb 5, 2024 |
| Healthpoint |
Federally qualified health center | Corporate Officer (12%) | Feb 5, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050602000701 | TX | Practitioner - Internal Medicine |
1557272416 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K9039 | TX | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brazos Valley Community Action Agency, Inc. | Current |
Accepting new patients | |
| .Sunstar Geriatrics Healthcare PA | Geriatric Medicine | Current |
Accepting new patients |
| Brazos Valley Community Action Agency, Inc. | Current |
Accepting new patients | |
| Stratford Hospital District | Past |
Accepting new patients | |
| Harden Clinical Services LLC | Geriatric Medicine | Past | Accepting new patients |
| Stratford Hospital District | Past |
Accepting new patients |
Locations
3370 S Texas Ave
Bryan, TX 77802
Phone (979) 595-1700
1500 University Dr E
College Station, TX 77840
Phone (979) 693-7400
1500 University Dr E
Ste 100
College Station, TX 77840
Phone (979) 383-2340
501 S Austin Ave
#2
Georgetown, TX 78626
501 S Austin Ave
Unit 1320
Georgetown, TX 78626
Phone (512) 868-9078
8310 Highway 6 Loop
Navasota, TX 77868
Phone (936) 825-0000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | K9039 | TX | Yes |
Addresses
Primary practice location
1500 University Dr E Ste 100
College Station, TX 77840-2600
Mailing address
1500 University Dr E Ste 100
College Station, TX 77840-2600
Phone (979) 383-2340
Other practice location 1
9850C Emmett F Lowry Expy Ste C-103
Texas City, TX 77591-2122
Phone (409) 938-2234
Other practice location 2
102 Long Point Cove
Georgetown, TX 78628
Phone (512) 965-8600
Other practice location 3
4700 Broadway St Ste F100
Galveston, TX 77551-4208
Phone (409) 938-2234
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144354102 | Medicaid | TX |
Other providers in College Station, TX
- James Neumann Childs
- Leslie Lynette Childs
- Maria Veitschegger Childs
- Pavan K Chiluvoju
- Jaiden M Chism
- Rakin H Choudhury
- Margarita Chouliara
- Christ Umc Dba Mending Hearts Grief Center
- Karis Christian
- Matthew Christy
All providers in College Station, TX · Geriatric Medicine (Internal Medicine) Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.