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CLINTON LEE FULLER
NPI 1104184191
Anesthesiology in Houston, TX

Active since April 26, 2012PECOS EnrolledAccepts Medicare Assignment
6621 FANNIN ST STE A3300, HOUSTON, TX 77030(832) 824-1000 Get Directions Write a Review

NPPES record last updated: November 5, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clinton Lee Fuller NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINTON LEE FULLER (NPI 1104184191) is an individual anesthesiology provider in Houston, Texas, licensed in Texas (BP10042968) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of University Of Texas Medical School At Houston (2012).

NPPES Registry Identity

NPI1104184191
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameCLINTON LEE FULLER
Location Address6621 FANNIN ST STE A3300Houston, TX 77030
Mailing Address6621 Fannin St Ste A3300Houston, TX 77030-2373
Phone(832) 824-1000
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2012
Enumeration DateApril 26, 2012
Last NPPES UpdateNovember 5, 2018
✔ NPI 1104184191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in TX · BP10042968
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
6621 FANNIN ST STE A3300, Houston, TX 77030
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Secondary Practice Location 1

Location 11709 Dryden Rd, Ste 1700Houston, TX 77030-2400 · Phone (713) 798-7356

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Clinton Lee Fuller is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365718228
PECOS Enrollment IDI20180518001682
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM SOLOMON JONES MD
Anesthesiology
6621 FANNIN ST STE A3300
HOUSTON, TX 77030
Harris County (832) 824-5800
RAHUL GEETENDRA BAIJAL M.D.
Anesthesiology (Pediatric Anesthesiology)
6621 FANNIN ST STE A3300
HOUSTON, TX 77030
Harris County (832) 824-5800
MONICA CHEN
Anesthesiology (Pediatric Anesthesiology)
6621 FANNIN ST STE A3300
HOUSTON, TX 77030
Harris County (832) 824-5800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinton Fuller's NPI number?

The NPI number for Clinton Fuller is 1104184191. It was assigned to this individual provider in the NPPES registry on April 26, 2012.

Where is Clinton Fuller located?

Clinton Fuller practices at 6621 Fannin St Ste A3300, Houston, TX 77030. The listed phone number is (832) 824-1000.

What is Clinton Fuller's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Clinton Fuller enrolled in Medicare?

Yes. Clinton Fuller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Clinton Fuller accept?

Health plans from Moda Health Plan, Inc. list Clinton Fuller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clinton Fuller was last updated on November 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.