Individual provider Active NPI

Maribel Anaya, PA-C

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1093144560
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08760 Issued in TX
Practice address
5402 Airline Dr
Houston, TX 77076-4902
Phone
(713) 239-1572
Fax
(713) 239-1577
NPI assigned
Nov 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA08760 TX Primary

Addresses

Primary practice location

5402 Airline Dr
Houston, TX 77076-4902

Mailing address

5402 Airline Dr
Houston, TX 77076-4902
Phone (713) 239-1572

Other practice location 1

5230 Aldine Mail Rte
Houston, TX 77039-3804
Phone (281) 598-3300

Other practice location 2

5230 Aldine Mail Rte
Houston, TX 77039-3804
Phone (281) 598-3300

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140603000301 TX Practitioner - Physician Assistant 0840413241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Wave Physicians Group, PLLCGroup PAC ID 1254749880, 7 clinicians

Practice addresses (Care Compare)

5220 FM 2920 Rd
Spring, TX 77388-3003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast, PLLC Past Accepting new patients

Organizations & group practices 2

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": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1093144560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 AIRLINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764902",
            "telephone_number": "713-239-1572",
            "fax_number": "713-239-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 AIRLINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764902",
            "telephone_number": "713-239-1572",
            "fax_number": "713-239-1577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5230 Aldine Mail Rte",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770393804",
            "country_code": "US",
            "telephone_number": "281-598-3300",
            "fax_number": "281-598-3305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5230 Aldine Mail Rte",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770393804",
            "country_code": "US",
            "telephone_number": "281-598-3300",
            "fax_number": "281-598-3305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANAYA",
        "first_name": "MARIBEL",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.