Active NPI
Mary Elizabeth Harris, MD
- Pediatrics Physician
- Houston, TX
National Provider Identifier
1093842528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- M5749
- Practice address
- 1504 Taub Loop
Dept. of Pediatrics
Houston, TX 77030-1608 - Phone
- (713) 873-2000
- NPI assigned
- Feb 28, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | M5749 | TX | Primary |
Addresses
Primary practice location
1504 Taub Loop
Dept. of Pediatrics
Houston, TX 77030-1608
Mailing address
6621 Fannin St
MC 1-1481 A210
Houston, TX 77030-2303
Phone (832) 824-5497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Boston University School of Medicine, 2003
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
401 Castle Creek Rd
Aspen, CO 81611-1159
PO Box
Grand Junction, CO 81502
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M5749 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Past | Accepting new patients | |
| Aspen Medical Care, PC | Past | Accepting new patients | |
| Baylor College of Medicine | Past | Accepting new patients | |
| Texas Children's Physician Group | Pediatrics | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Aspen Valley Hospital Center for Medical Care
- Multi-Specialty Clinic/Center
- Aspen, CO
- NPI 1003306168
-
- Internal Medicine Physician
- Houston, TX
- NPI 1104867175
-
dba HCHD Internal Medicine
- Internal Medicine Physician
- Houston, TX
- NPI 1164463287
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
-
- Family Medicine Physician
- Aspen, CO
- NPI 1154451367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093842528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6621 FANNIN ST",
"address_2": "MC 1-1481 A210",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302303",
"telephone_number": "832-824-5497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 TAUB LOOP",
"address_2": "DEPT. OF PEDIATRICS",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301608",
"telephone_number": "713-873-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "M5749",
"primary": true
}
],
"identifiers": [],
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.