Individual provider Active NPI

Acacia Cognata, ACACIA COGNATA

  • Neonatal-Perinatal Medicine Physician
  • Houston, TX
National Provider Identifier
1013201441
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
T9664 Issued in TX
Practice address
1 Baylor PLZ
Room 022D
Houston, TX 77030-3411
Phone
(832) 646-9298
NPI assigned
Jun 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 557693 TX
Neonatal-Perinatal Medicine Physician 2080N0001X MD2014-0734 NM
Neonatal-Perinatal Medicine Physician 2080N0001X T9664 TX Primary

Addresses

Primary practice location

1 Baylor PLZ
Room 022D
Houston, TX 77030-3411

Mailing address

1617 Zena Lona St NE
Albuquerque, NM 87112-4535
Phone (832) 646-9298

Other practice location 1

4701 Montgomery Blvd NE
Albuquerque, NM 87109-1219
Phone (505) 727-3200

Other practice location 2

1201 W Frank Ave
Lufkin, TX 75904-3357
Phone (832) 646-9298

Other identifiers 1

IdentifierTypeStateIssuer
557693OtherTXTEXAS MEDICAL BOARD

Other names 1

  • Acacia Sisler Former name

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
I20230208003378 TX Practitioner - Pediatric Medicine 6406228956 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
557693TXMDPediatrics Physician
MD2014-0734NMMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Children'S Physician Group Pediatrics CurrentSince Jan 3, 2023 Accepting new patients
Memorial Health System of East Texas Past Accepting new patients

Locations

1102 Bates Ave
#1450
Houston, TX 77030

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

101 W Expressway 83
McAllen, TX 78503
Phone (956) 661-9840

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1013201441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 ZENA LONA ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871124535",
            "telephone_number": "832-646-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BAYLOR PLZ",
            "address_2": "ROOM 022D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303411",
            "telephone_number": "832-646-9298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4701 Montgomery Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871091219",
            "country_code": "US",
            "telephone_number": "505-727-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 W Frank Ave",
            "address_purpose": "LOCATION",
            "city": "Lufkin",
            "state": "TX",
            "postal_code": "759043357",
            "country_code": "US",
            "telephone_number": "832-646-9298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COGNATA",
        "first_name": "ACACIA",
        "name_prefix": "Dr.",
        "credential": "ACACIA COGNATA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "557693",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NM",
            "license": "MD2014-0734",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TX",
            "license": "T9664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "557693",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ACACIA",
            "last_name": "SISLER",
            "credential": "ACACIA COGNATA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.