Active NPI
Pediatric Healthcare of Northwest Houston PA
- Pediatrics Physician
- Houston, TX
National Provider Identifier
1083752059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- PEDIATRIC HEALTHCARE OF NORTHWEST HOUSTON PA
- Practice address
- 12015 Louetta Rd Ste 100
Houston, TX 77070-1148 - Phone
- (281) 664-2152
- Fax
- (281) 257-3514
- NPI assigned
- Feb 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tasneem Palanpurwala
- Title
- Administrator
- Phone
- (281) 664-2152
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Pediatrics Physician | 208000000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X | |||
| Pediatric Nurse Practitioner | 363LP0200X |
Addresses
Primary practice location
12015 Louetta Rd Ste 100
Houston, TX 77070-1148
Mailing address
11840 FM 1960 Rd W
Houston, TX 77065-3840
Phone (832) 912-7044
Other practice location 1
690 S Loop 336 W Ste 110
Conroe, TX 77304-3320
Phone (936) 539-8190
Other practice location 2
27721 State Highway 249 Ste 100
Tomball, TX 77375-6579
Phone (281) 357-5115
Other practice location 3
11840 Fm 1960 Rd W
Houston, TX 77065-3840
Phone (832) 912-7044
Other identifiers 21
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134124779 | Other | TX | NPI |
| G86571 | Other | UPIN | |
| 1386611721 | Other | NPI | |
| 1396715132 | Other | NPI | |
| I53967 | Other | UPIN | |
| 1184172462 | Other | NPI | |
| 159509205 | Medicaid | TX | |
| 1780651133 | Other | NPI | |
| 178813504 | Medicaid | TX | |
| 1063452548 | Other | NPI | |
| 1841389897 | Other | TX | NPI |
| 035826904 | Medicaid | TX | |
| 130902308 | Medicaid | TX | |
| 1578701439 | Other | NPI | |
| 160185803 | Medicaid | TX | |
| 128256808 | Medicaid | TX | |
| 1295737286 | Other | NPI | |
| 1710354907 | Other | NPI | |
| 194471202 | Medicaid | TX | |
| 1992772990 | Other | NPI | |
| H26244 | Other | UPIN |
National Provider Directory
National Provider DirectoryLocations
12015 Louetta Rd
Ste 100
Houston, TX 77070
Phone (281) 374-9700
27721 State Highway 249
Ste 100
Tomball, TX 77375
Phone (281) 357-5115
Practitioners & affiliated clinicians
Practitioners 16
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Nurse Practitioner
- Conroe, TX
- NPI 1376823435
Pediatrics
-
- Pediatrics Physician
- Tomball, TX
- NPI 1841389897
-
- Nurse Practitioner
- Tomball, TX
- NPI 1922752393
-
- Pediatrics Physician
- Houston, TX
- NPI 1063452548
-
- Pediatrics Physician
- Houston, TX
- NPI 1992772990
-
- Pediatrics Physician
- Houston, TX
- NPI 1386611721
-
- Pediatrics Physician
- Dallas, TX
- NPI 1376121483
-
- Pediatric Adolescent Medicine Physician
- The Woodlands, TX
- NPI 1023045978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562025600000",
"number": "1083752059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11840 FM 1960 RD W",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770653840",
"telephone_number": "832-912-7044",
"fax_number": "832-912-7033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12015 LOUETTA RD STE 100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770701148",
"telephone_number": "281-664-2152",
"fax_number": "281-257-3514"
}
],
"practiceLocations": [
{
"address_1": "690 S Loop 336 W Ste 110",
"address_purpose": "LOCATION",
"city": "Conroe",
"state": "TX",
"postal_code": "773043320",
"country_code": "US",
"telephone_number": "936-539-8190",
"fax_number": "936-756-9948",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "27721 State Highway 249 Ste 100",
"address_purpose": "LOCATION",
"city": "Tomball",
"state": "TX",
"postal_code": "773756579",
"country_code": "US",
"telephone_number": "281-357-5115",
"fax_number": "281-516-9466",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11840 Fm 1960 Rd W",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770653840",
"country_code": "US",
"telephone_number": "832-912-7044",
"fax_number": "832-912-7033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PEDIATRIC HEALTHCARE OF NORTHWEST HOUSTON PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-02",
"last_updated": "2019-07-02",
"status": "A",
"authorized_official_last_name": "PALANPURWALA",
"authorized_official_first_name": "TASNEEM",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "281-664-2152"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1134124779",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "G86571",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1386611721",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1396715132",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "I53967",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1184172462",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "159509205",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1780651133",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "178813504",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1063452548",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1841389897",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "035826904",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130902308",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1578701439",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160185803",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128256808",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1295737286",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1710354907",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "194471202",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1992772990",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "H26244",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.