Evan G Pivalizza, MD | |
6411 Fannin St, Houston, TX 77030-1501 | |
(713) 500-6200 | |
(713) 500-6264 |
Full Name | Evan G Pivalizza |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 39 Years |
Location | 6411 Fannin St, Houston, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922045327 | NPI | - | NPPES |
132243006 | Medicaid | TX | |
8X6131 | Other | TX | BCBS |
83Z520 | Other | TX | BCBS |
132243008 | Medicaid | TX | |
132243001 | Other | TX | CSHCN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | K3826 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ut Health East Texas Tyler Regional Hospital | Tyler, TX | Hospital |
Memorial Hermann - Texas Medical Center | Houston, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northstar Anesthesia Iii Pa | 0042630501 | 338 |
Ut Physicians | 8426960360 | 1400 |
Entity Name | Ut Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033157821 PECOS PAC ID: 8426960360 Enrollment ID: O20031107000268 |
Entity Name | Northstar Anesthesia Iii Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356968952 PECOS PAC ID: 0042630501 Enrollment ID: O20201022000080 |
Mailing Address | Practice Location Address |
---|---|
Evan G Pivalizza, MD Po Box 201088, Houston, TX 77216-1088 Ph: (713) 500-3500 | Evan G Pivalizza, MD 6411 Fannin St, Houston, TX 77030-1501 Ph: (713) 500-6200 |
Dr. Nicholas James Defilippis, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2411 Fountain View Dr, Houston, TX 77057 Phone: 713-620-4000 | |
Dr. Archana Vargheese Raghavan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1500 Citywest Blvd, Ste. 300, Houston, TX 77042 Phone: 713-620-4000 Fax: 713-458-4229 | |
Loc Tien Nguyen, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 8614 Majesticbrook Dr, Houston, TX 77095 Phone: 832-746-6608 | |
Dr. Tanner B Baker, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2537 S Gessner Rd, Suite 200, Houston, TX 77063 Phone: 713-559-6929 | |
Hyung J Kim, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1635 North Loop W, Houston, TX 77008 Phone: 713-540-6980 | |
Dr. Salim Khan Durrani, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11777 Katy Fwy Ste 260, Houston, TX 77079 Phone: 713-973-7246 Fax: 832-553-1337 | |
January Y Tsai, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1515 Holcombe Blvd, Houston, TX 77030 Phone: 713-792-6161 |