NPIMap

Individual provider Active NPI

Kenneth Ray Vanowen, M.D.

  • Neurology Physician
  • Pasadena, TX
National Provider Identifier
1053447250
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
T0028 Issued in TX
Practice address
4141 Vista Rd
Pasadena, TX 77504-2113
Phone
(713) 947-3100
NPI assigned
Feb 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2007007216 MO
Neurology Physician 2084N0400X 04-34475 KS
Neurology Physician 2084N0400X 01058864A IN
Neurology Physician 2084N0400X T0028 TX Primary

Addresses

Primary practice location

4141 Vista Rd
Pasadena, TX 77504-2113

Mailing address

4141 Vista Rd
Pasadena, TX 77504-2113
Phone (713) 947-3100

Other practice location 1

10905 Memorial Hermann Dr Ste 115
Pearland, TX 77584-3490
Phone (713) 947-3100

Other identifiers 3

IdentifierTypeStateIssuer
207435009MedicaidMO
200533040AMedicaidKS
P00427020OtherMEDICARE RR PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070924000330 MO Practitioner - NeurologyPractitioner - NeurosurgeryPractitioner - Other (Physician) 6204858319 Reassigns benefits to 1 organization
I20210311000159 TX Practitioner - Neurology 6204858319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Texas Southwestern Medical School at Dallas, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MHS Physicians of TexasGroup PAC ID 1557254968, 113 clinicians

Practice addresses (Care Compare)

10905 Memorial Hermann Dr
Pearland, TX 77584-3490

1600 N 2ND St
Clinton, MO 64735-1192
Phone (660) 885-8171

18955 N Memorial Dr
Suite 360
Humble, TX 77338-4396
Phone (281) 319-8530

4141 Vista Rd
Pasadena, TX 77504-2113
Phone (713) 947-3100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01058864AINMDNeurology Physician
04-34475KSMDNeurology Physician
2007007216MOMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Memorial Hospital District CurrentSince Jan 24, 2026 Accepting new patients
MHS Physicians of Texas Neurology CurrentSince Mar 29, 2021 Accepting new patients
MHS Physicians of Texas CurrentSince Mar 29, 2021 Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Jan 24, 2026 Accepting new patients
Memorial Hermann Neighborhood Health Centers, PLLC Neurology Current Accepting new patients
Independence Neurosurgery Services LLC Past Accepting new patients
Johnson Memorial Hospital Past Accepting new patients

Locations

1600 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171

909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523

18955 N Memorial Dr
Ste 360
Humble, TX 77338
Phone (281) 319-8530

4141 Vista Rd
Pasadena, TX 77504
Phone (713) 947-3100

10905 Memorial Hermann Dr
Ste 111
Pearland, TX 77584
Phone (281) 929-4727

10905 Memorial Hermann Dr
Ste 115
Pearland, TX 77584
Phone (281) 922-7222

9200 Pinecroft Dr
Ste 130
Shenandoah, TX 77380
Phone (713) 897-5900

Networks

  • IA HMO C-SNP
  • IA HMO

Interoperability endpoints

  • Direct secure messaging: kvanowen66987@memorialhermann.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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1053447250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 VISTA RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042113",
            "telephone_number": "713-947-3100",
            "fax_number": "713-947-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 VISTA RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042113",
            "telephone_number": "713-947-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10905 Memorial Hermann Dr Ste 115",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775843490",
            "country_code": "US",
            "telephone_number": "713-947-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANOWEN",
        "first_name": "KENNETH",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-24",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2007007216",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KS",
            "license": "04-34475",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01058864A",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "T0028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207435009",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200533040A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR PIN",
            "identifier": "P00427020",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.