Individual provider Active NPI

Maryann Miyun Choi I, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • College Station, TX
National Provider Identifier
1982673083
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
K9039 Issued in TX
Practice address
1500 University Dr E Ste 100
College Station, TX 77840-2600
Phone
(979) 383-2340
NPI assigned
Mar 14, 2006
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X K9039 TX Primary

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

4700 Broadway St Ste F100
Galveston, TX 77551-4208
Phone (409) 938-2234

Other practice location 3

102 Long Point Cove
Georgetown, TX 78628
Phone (512) 965-8600

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
I20050602000701 TX Practitioner - Internal MedicinePractitioner - Geriatric Medicine 1557272416 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
.Sunstar Geriatrics Healthcare PA Geriatric Medicine CurrentSince May 15, 2005 Accepting new patients
Brazos Valley Community Action Agency, Inc. CurrentSince Feb 5, 2024 Accepting new patients
Brazos Valley Community Action Agency, Inc. CurrentSince May 30, 2024 Accepting new patients
Harden Clinical Services LLC Geriatric Medicine Past Accepting new patients
Coastal Health & Wellness PastSince Jun 16, 2022 Accepting new patients
Stratford Hospital District PastSince Jan 1, 2020 Accepting new patients
Stratford Hospital District PastSince Apr 5, 2025 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) 635-1856

8310 Highway 6 Loop
Navasota, TX 77868
Phone (936) 825-0000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 19

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wurzbach Nursing and RehabilitationSan Antonio, TX, CCN 455824 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (99%) Jan 1, 2020
Trinity Care CenterRound Rock, TX, CCN 675546 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (99%) Jan 1, 2020
Caraday of HoustonHouston, TX, CCN 676470 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (99%) Aug 1, 2021
Caraday Home HealthRound Rock, TX, CCN 747625 Home health agency 5% Or Greater Indirect Ownership Interest (10%) May 14, 2021
HealthpointBryan, TX, CCN 451942 Federally qualified health center Corporate Officer (12%) Feb 5, 2024
HealthpointNavasota, TX, CCN 451981 Federally qualified health center Corporate Officer (12%) Feb 5, 2024
Healthpoint - MadisonvilleMadisonville, TX, CCN 671828 Federally qualified health center Corporate Officer (12%) Feb 5, 2024
HealthpointCenterville, TX, CCN 671848 Federally qualified health center Corporate Officer (12%) Feb 5, 2024
HealthpointCollege Station, TX, CCN 671861 Federally qualified health center Corporate Officer (12%) Feb 5, 2024
HealthpointHearne, TX, CCN 671974 Federally qualified health center Corporate Officer (12%) Feb 5, 2024
HealthpointCaldwell, TX, CCN 671973 Federally qualified health center Corporate Officer (12%) Feb 5, 2024
HealthpointFranklin, TX, CCN 671981 Federally qualified health center Corporate Officer (12%) Feb 5, 2024
HealthpointBryan, TX, CCN 741830 Federally qualified health center Corporate Officer (12%) Feb 5, 2024
HealthpointHempstead, TX, CCN 741868 Federally qualified health center Corporate Officer (12%) Feb 5, 2024
HealthpointTrinity, TX, CCN 451024 Federally qualified health center Corporate Officer (12%) Feb 5, 2024
SBHC - Franklin Elementary SchoolFranklin, TX, CCN 971009 Federally qualified health center Corporate Officer (12%) Feb 5, 2024
SBHC - Franklin Middle SchoolFranklin, TX, CCN 451858 Federally qualified health center Corporate Officer (12%) Feb 5, 2024
SBHC - Calvert IsdCalvert, TX, CCN 971008 Federally qualified health center Corporate Officer (12%) Feb 5, 2024
HealthpointBryan, TX, CCN 971022 Federally qualified health center Corporate Officer (12%) Feb 5, 2024

Owned or controlled facilities with NPI records 19

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 19

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1982673083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 UNIVERSITY DR E STE 100",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778402600",
            "telephone_number": "979-383-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 UNIVERSITY DR E STE 100",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778402600",
            "telephone_number": "979-383-2340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9850C Emmett F Lowry Expy Ste C-103",
            "address_purpose": "LOCATION",
            "city": "Texas City",
            "state": "TX",
            "postal_code": "775912122",
            "country_code": "US",
            "telephone_number": "409-938-2234",
            "fax_number": "409-938-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Broadway St Ste F100",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775514208",
            "country_code": "US",
            "telephone_number": "409-938-2234",
            "fax_number": "409-938-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Long Point Cove",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "78628",
            "country_code": "US",
            "telephone_number": "512-965-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOI",
        "first_name": "MARYANN",
        "middle_name": "MIYUN",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "K9039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.