Individual provider Active NPI

Holly Bauser-Heaton, M.D., PH.D.

  • Pediatric Cardiology Physician
  • Houston, TX
National Provider Identifier
1073756631
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
W0872 Issued in TX
Practice address
6410 Fannin St
Houston, TX 77030-3000
Phone
(713) 500-6345
Fax
(713) 500-5751
NPI assigned
Apr 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X W0872 TX Primary
Pediatrics Physician 208000000X W0872 TX

Addresses

Primary practice location

6410 Fannin St
Houston, TX 77030-3000

Mailing address

6410 Fannin St
Houston, TX 77030-3000
Phone (713) 500-6345

Other identifiers 1

IdentifierTypeStateIssuer
003177562BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160823002983 GA Practitioner - Cardiovascular Disease (Cardiology) 2163717695 Reassigns benefits to 1 organization
I20250828001302 TX Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 2163717695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Indiana University School of Medicine, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6410 Fannin St
Suite 135
Houston, TX 77030-3003

6414 Fannin St
Suite G125
Houston, TX 77030-1517

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
W0872TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Pediatrics CurrentSince Aug 18, 2025 Accepting new patients
Childrens Healthcare of Atlanta Cardiology Inc Pediatric Cardiology CurrentSince Jul 1, 2016 Accepting new patients
Ut Physicians CurrentSince Aug 18, 2025 Accepting new patients
Memorial Hermann Health System Past Accepting new patients

Locations

2835 Brandywine Rd
Ste 300
Atlanta, GA 30341
Phone (770) 488-9202

2835 Brandywine Rd
Ste 400
Atlanta, GA 30341

1405 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 785-1112

60 Executive Park South NE
Atlanta, GA 30329

6410 Fannin St
Ste 370
Houston, TX 77030
Phone (713) 486-6755

6431 Fannin St
Houston, TX 77030
Phone (713) 500-5800

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6410 Fannin St
Ste 135
Houston, TX 77030

6410 Fannin St
Houston, TX 77030
Phone (713) 500-5800

Organizations & group practices 4

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": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1073756631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303000",
            "telephone_number": "713-500-6345",
            "fax_number": "713-500-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303000",
            "telephone_number": "713-500-6345",
            "fax_number": "713-500-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUSER-HEATON",
        "first_name": "HOLLY",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-13",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "W0872",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "W0872",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003177562B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.