Clayton B Pedrick, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

J7130 Issued in TX

Practice address

7900 Fannin St
Suite 2300
Houston, TX 77054-2900

Phone

(713) 790-1349

Fax

(713) 790-0028

NPI assigned

Oct 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Anesthesiology

Education

Louisiana State University School of Medicine in New Orleans, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Austin Anesthesiology Group PLLCGroup PAC ID 0547256497, 430 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Womans Hospital of Texas,the Hospital, Houston, TX, CCN 450674

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Austin Anesthesiology Group, PLLC

  • Anesthesiology Physician
  • Austin, TX
  • NPI 1598724304
  Medicare reassignment Care Compare group NPD
• Independent Physicians Network PLLC

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1396274676
  Medicare reassignment NPD
• Austin Anesthesiology Group PLLC

  • Anesthesiology Physician
  • Bryan, TX
  • NPI 1528326154
  NPD
• Pediatric Dentistry of Keller PLLC

  • Pediatric Dentistry
  • Keller, TX
  • NPI 1750934253
  NPD (past)

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

• Chca Womans Hospital LP

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1023065794
  Care Compare affiliation

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1073501045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 FANNIN ST",
            "address_2": "SUITE 2300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542900",
            "telephone_number": "713-790-1349",
            "fax_number": "713-790-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 FANNIN ST",
            "address_2": "SUITE 2300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542900",
            "telephone_number": "713-790-1349",
            "fax_number": "713-790-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDRICK",
        "first_name": "CLAYTON",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "J7130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8K5456",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greesha Pednekar, M.D.
• Manali Pednekar, MD
• Susan Kaye Pedott, DMD
• Silvana G Pedra Nobre, MD
• Mojgan Pedram
• Pedro M. Arguello, M.D. PA
• Pedro M. Caram, M.D.,P.a.
• Ibraheem Pedro, PHARM D
• Ivan Pedrosa, M.D.
• Michael Macedo Pedrosa, MD

• Anesthesiology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.