Individual provider Active NPI

Rosabelle Via McConkey, M.D.

  • Pediatric Adolescent Medicine Physician
  • Katy, TX
National Provider Identifier
1093020117
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
N4579 Issued in TX
Practice address
1259 FM 1463 Rd Ste 300
Katy, TX 77494-5474
Phone
(832) 856-4600
Fax
(281) 665-3969
NPI assigned
Aug 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X N4579 TX Primary

Addresses

Primary practice location

1259 FM 1463 Rd Ste 300
Katy, TX 77494-5474

Mailing address

1259 FM 1463 Rd Ste 300
Katy, TX 77494-5474
Phone (832) 856-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N4579TXMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wishing Well Children'S Clinic, PLLC Adolescent Medicine Current Accepting new patients

Locations

1259 FM 1463 Rd
Ste 300
Katy, TX 77494
Phone (832) 437-5544

Interoperability endpoints

  • Direct secure messaging: rmcconkey20006@memorialhermann.direct-ci.com
  • Direct secure messaging: rosabelle.mcconkey@wwccp.eclinicaldirectplus.com

Organizations & group practices 1

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": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1093020117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 FM 1463 RD STE 300",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945474",
            "telephone_number": "832-856-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 FM 1463 RD STE 300",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945474",
            "telephone_number": "832-856-4600",
            "fax_number": "281-665-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONKEY",
        "first_name": "ROSABELLE",
        "middle_name": "VIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-12",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "TX",
            "license": "N4579",
            "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 Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.