Individual provider Active NPI

Anthony Joseph Muffoletto, MD

  • Orthopaedic Surgery of the Spine Physician
  • Houston, TX
National Provider Identifier
1992817993
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
K9854 Issued in TX
Practice address
1110 Nasa Pkwy Ste 307
Houston, TX 77058-3345
Phone
(832) 864-3047
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X K9854 TX
Orthopaedic Surgery of the Spine Physician 207XS0117X K9854 TX Primary

Addresses

Primary practice location

1110 Nasa Pkwy Ste 307
Houston, TX 77058-3345

Mailing address

PO Box 590647
Houston, TX 77259-0647
Phone (832) 864-3407

Other identifiers 10

IdentifierTypeStateIssuer
P01070710OtherTXRR MEDICARE
040029305MedicaidTX
040029307MedicaidTX
5521704OtherTXAETNA
8BP175OtherTXBLUE CROSS BLUE SHIELD
610119705OtherTXUS DEPT OF LABOR
040029303MedicaidTX
040029304MedicaidTX
040029306MedicaidTX
P00732782OtherTXRAILROAD MEDICARE

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
I20090113000652 TX Practitioner - Orthopedic Surgery 7911941703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Medical School at San Antonio, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2060 Space Park Dr
Suite 304
Houston, TX 77058-3675
Phone (832) 864-3407

Hospital & facility affiliations

  • Houston Methodist Clear Lake Hospital Hospital, Nassau Bay, TX, CCN 450709

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36313TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
All American Orthopedic and Sports Medicine Institute PLLC Orthopaedic Surgery Current Accepting new patients
Anthony J. Muffoletto, MD PA Orthopaedic Surgery of the Spine CurrentSince Jan 5, 2015 Accepting new patients
N. Christine Le, M.D., P.a. PastSince Nov 29, 2020 Accepting new patients
Utmb Faculty Group Practice Past Accepting new patients
Tmhpo - Methodist Orthopaedic Specialists of Texas Orthopaedic Surgery Past Accepting new patients
TMH Physician Associates PLLC Past Accepting new patients

Locations

1110 Nasa Pkwy
Ste 307
Houston, TX 77058
Phone (832) 864-3047

2060 Space Park Dr
Ste 304
Houston, TX 77058
Phone (281) 335-7588

1045 Gemini St
Ste 100
Houston, TX 77058
Phone (281) 335-1111

Interoperability endpoints

  • Direct secure messaging: amuffoletto@aaosmi.ce.directmessaging.net

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 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1992817993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 590647",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772590647",
            "telephone_number": "832-864-3407",
            "fax_number": "281-335-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 NASA PKWY STE 307",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583345",
            "telephone_number": "832-864-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUFFOLETTO",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "K9854",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "K9854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01070710",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040029305",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040029307",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5521704",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8BP175",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "610119705",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040029303",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040029304",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040029306",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00732782",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.