Individual provider Active NPI

Tsegaw Erko Egziti, M.D.

  • Nephrology Physician
  • Houston, TX
National Provider Identifier
1982995213
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
Q0628 Issued in TX
Practice address
18220 Tomball Pkwy Ste 205
Houston, TX 77070-4347
Phone
(281) 429-8780
Fax
(281) 763-7930
NPI assigned
Apr 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10039980 TX
Nephrology Physician 207RN0300X Q0628 TX Primary

Addresses

Primary practice location

18220 Tomball Pkwy Ste 205
Houston, TX 77070-4347

Mailing address

2149 E Warner Rd Ste 102
Tempe, AZ 85284-3495
Phone (480) 393-0309

Other practice location 1

10720 Barker Cypress Rd
Cypress, TX 77433-1372
Phone (281) 429-8780

Other practice location 2

13656 Breton Ridge St Ste A
Houston, TX 77070-6089
Phone (281) 429-8780

Other practice location 3

21212 Northwest Fwy Ste 465
Cypress, TX 77429-6070
Phone (281) 429-8780

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
I20180706000683 TX Practitioner - NephrologyPractitioner - Internal Medicine 2466744610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Houston Kidney Specialists Center PLLCGroup PAC ID 3678811445, 10 clinicians

Practice addresses (Care Compare)

21212 Northwest Fwy
Suite 205
Cypress, TX 77429-5885
Phone (281) 429-8780

Hospital & facility affiliations

  • DaVita Barker Cypress Dialysis Dialysis facility, Cypress, TX, CCN 672896
  • DaVita Cypress Woods Northwest Dialysis Dialysis facility, Jersey Village, TX, CCN 672669
  • DaVita Clear Creek Dialysis Dialysis facility, Hempstead, TX, CCN 672808
  • Northwest Houston Dialysis Ctr Dialysis facility, Houston, TX, CCN 452671
  • DaVita Jersey Village Dialysis Dialysis facility, Houston, TX, CCN 672781
  • Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844
  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068
  • Houston Methodist Cypress Hospital Hospital, Cypress, TX, CCN 670342
  • HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775
  • St Luke'S Hospital at the Vintage Hospital, Houston, TX, CCN 670075

Merit-based Incentive Payment System (MIPS)

Final score
97.24 of 100Reported as individual
Quality
86.02
Promoting interoperability
95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10039980TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Kidney Specialists Center PLLC Nephrology CurrentSince Jun 19, 2019 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Teredesai McCann & Associates PC Past Accepting new patients

Locations

2149 E Warner Rd
Ste 102
Tempe, AZ 85284
Phone (623) 247-0808

21212 Northwest Fwy
Ste 465
Cypress, TX 77429
Phone (281) 429-8780

10242 Greenhouse Rd
Ste 1101
Cypress, TX 77433
Phone (281) 429-8780

10720 Barker Cypress Rd
Cypress, TX 77433
Phone (281) 345-4800

27700 NW Freeway
Ste 350
Cypress, TX 77433
Phone (281) 429-8780

21212 Northwest Fwy
Ste 205
Cypress, TX 77429
Phone (216) 702-4535

10425 Huffmeister Rd
Ste 240
Houston, TX 77065
Phone (281) 429-8780

18220 Tomball Pkwy
Ste 205
Houston, TX 77070
Phone (281) 429-8780

13656 Breton Ridge St
Ste A
Houston, TX 77070
Phone (281) 429-8780

Interoperability endpoints

  • Direct secure messaging: tsegaw.egziti.1@19285.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19285/brand/4/csg/1/fhir/r4

Organizations & group practices 3

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 11

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": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1982995213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 E WARNER RD STE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843495",
            "telephone_number": "480-393-0309",
            "fax_number": "480-610-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18220 TOMBALL PKWY STE 205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704347",
            "telephone_number": "281-429-8780",
            "fax_number": "281-763-7930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10720 Barker Cypress Rd",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774331372",
            "country_code": "US",
            "telephone_number": "281-429-8780",
            "fax_number": "281-763-7930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13656 Breton Ridge St Ste A",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770706089",
            "country_code": "US",
            "telephone_number": "281-429-8780",
            "fax_number": "281-763-7930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21212 Northwest Fwy Ste 465",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774296070",
            "country_code": "US",
            "telephone_number": "281-429-8780",
            "fax_number": "281-763-7930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGZITI",
        "first_name": "TSEGAW",
        "middle_name": "ERKO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-20",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10039980",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "Q0628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.