Individual provider Active NPI

William C Pederson, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Houston, TX
National Provider Identifier
1053387902
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
F1893 Issued in TX
Practice address
1977 Butler Blvd Ste E6100
Houston, TX 77030-4101
Phone
(713) 798-6141
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X F1893 TX Primary
Surgery of the Hand (Surgery) Physician 2086S0105X F1893 TX
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X F1893 TX
Plastic Surgery Physician 208200000X F1893 TX

Addresses

Primary practice location

1977 Butler Blvd Ste E6100
Houston, TX 77030-4101

Mailing address

6701 Fannin St Ste 610.00
Houston, TX 77030-2608
Phone (832) 822-3180

Other practice location 1

6701 Fannin St Ste 610.00
Houston, TX 77030-2608
Phone (832) 822-3180

Other identifiers 1

IdentifierTypeStateIssuer
133003703MedicaidTX

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
I20100415000254 TX Practitioner - Plastic and Reconstructive SurgeryPractitioner - Orthopedic SurgeryPractitioner - Hand Surgery 5597860890 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
University of Texas Southwestern Medical School at Dallas, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

Practice addresses (Care Compare)

1977 Butler Blvd
Suite E6.100
Houston, TX 77030-4101
Phone (713) 798-1000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Children'S Physician Group CurrentSince Sep 23, 2015 Accepting new patients
Baylor College of Medicine CurrentSince Sep 1, 2023 Accepting new patients
Baylor College of Medicine Plastic Surgery CurrentSince Sep 1, 2023 Accepting new patients
Baylor College of Medicine CurrentSince Aug 14, 2017 Accepting new patients
Hand Center PA Plastic Surgery CurrentSince Apr 30, 2003 Accepting new patients
Baylor College of Medicine CurrentSince Aug 14, 2017 Accepting new patients
Hill Country Electrodiagnostics PLLC PastSince Feb 5, 2010 Accepting new patients

Locations

8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

6701 Fannin St
Fl 8
Houston, TX 77030
Phone (832) 822-3135

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

1977 Butler Blvd
Ste E6100
Houston, TX 77030
Phone (713) 798-6141

6701 Fannin St
Ste 61000
Houston, TX 77030
Phone (832) 822-3180

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

1102 Bates Ave
#1450
Houston, TX 77030

6701 Fannin St
Ste 1420
Houston, TX 77030
Phone (832) 822-4240

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

21 Spurs Ln
Ste 310
San Antonio, TX 78240
Phone (210) 558-7025

21 Spurs Ln
Ste 248
San Antonio, TX 78240
Phone (210) 558-7025

Interoperability endpoints

  • Direct secure messaging: william.pederson@1333.chartlogic.direct-ci.com

Organizations & group practices 8

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1053387902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 FANNIN ST STE 610.00",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302608",
            "telephone_number": "832-822-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1977 BUTLER BLVD STE E6100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304101",
            "telephone_number": "713-798-6141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6701 Fannin St Ste 610.00",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302608",
            "country_code": "US",
            "telephone_number": "832-822-3180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDERSON",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "F1893",
            "primary": true
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "TX",
            "license": "F1893",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "TX",
            "license": "F1893",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "F1893",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133003703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.