Organization Active NPI

Just for Kids Pediatrics PLLC

  • Pediatrics Physician
  • Katy, TX
National Provider Identifier
1073986352
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N5320 Issued in TX
Legal business name
JUST FOR KIDS PEDIATRICS PLLC
Practice address
418 Park Grove
Katy, TX 77450
Phone
(281) 492-0774
Fax
(281) 492-0716
NPI assigned
Nov 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Authorized official

Name
Amisha A Patel, MDNPI 1962664045
Title
President
Phone
(281) 492-0774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X N5320 TX Primary

Addresses

Primary practice location

418 Park Grove
Katy, TX 77450

Mailing address

418 Park Grove
Katy, TX 77450
Phone (281) 492-0774

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2113064Just for Kids Pediatrics418 Park Grove Drive, Katy, TX 77450Certificate of waiverMay 15, 2028

National Provider Directory

National Provider Directory

Locations

418 Park Grove Dr
Katy, TX 77450
Phone (281) 492-0774

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12336/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1073986352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 PARK GROVE",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "281-492-0774",
            "fax_number": "281-492-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 PARK GROVE",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "281-492-0774",
            "fax_number": "281-492-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST FOR KIDS PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AMISHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-492-0774",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N5320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.