Individual provider Active NPI

Sherine Alicia Patterson, MD, MPH

  • Pediatric Adolescent Medicine Physician
  • Houston, TX
National Provider Identifier
1033380480
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
R2939 Issued in TX
Practice address
12667 Bissonnet St
Houston, TX 77099-1331
Phone
(832) 548-5000
NPI assigned
Mar 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X R2939 TX Primary

Addresses

Primary practice location

12667 Bissonnet St
Houston, TX 77099-1331

Mailing address

PO Box 66308
Houston, TX 77266-6308

Other identifiers 1

IdentifierTypeStateIssuer
R2939OtherTXTEXAS MEDICAL BOARD

Other names 1

  • Dr. Sherine Patterson-Rose 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
I20170810003424 TX Practitioner - Pediatric Medicine 3971654401 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R2939TXMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Community Health Services, Inc CurrentSince Jun 26, 2017 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Jun 26, 2017 Accepting new patients
City of Cincinnati Past Accepting new patients

Locations

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

3811 Lyons Ave
Houston, TX 77020
Phone (713) 814-3494

6500 Rookin St
Ste 200
Houston, TX 77074
Phone (713) 351-7350

12667 Bissonnet St
Houston, TX 77099
Phone (281) 498-6100

3021 Texas Pkwy
Missouri City, TX 77489

12540 Sugardale Dr
Stafford, TX 77477
Phone (601) 815-1368

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.

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1033380480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66308",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772666308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12667 BISSONNET ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770991331",
            "telephone_number": "832-548-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "SHERINE",
        "middle_name": "ALICIA",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-13",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "TX",
            "license": "R2939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "R2939",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERINE",
            "last_name": "PATTERSON-ROSE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.