Individual provider Active NPI

Allyson Thomas Patronella, M.D.

  • Obstetrics & Gynecology Physician
  • Houston, TX
National Provider Identifier
1124028410
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
J4556 Issued in TX
Practice address
18300 Katy Fwy
Suite 315
Houston, TX 77094-1385
Phone
(713) 464-2100
Fax
(281) 392-7911
NPI assigned
Jul 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X J4556 TX Primary

Addresses

Primary practice location

18300 Katy Fwy
Suite 315
Houston, TX 77094-1385

Mailing address

PO Box 4581
Houston, TX 77210-4581
Phone (713) 464-2100

Other identifiers 2

IdentifierTypeStateIssuer
0962250-01MedicaidTX
8U9983OtherTXBC/BS NUMBER

Other names 1

  • Allyson Lynette Thomas Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060508000322 TX Practitioner - Obstetrics/Gynecology 4880605724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical School at San Antonio, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Advanced Women'S Wellness, PLLCGroup PAC ID 1557658887, 3 clinicians

Practice addresses (Care Compare)

21402 Provincial Blvd
Katy, TX 77450-7587
Phone (281) 398-0777

Hospital & facility affiliations

  • Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847
  • Houston Methodist West Hospital Hospital, Houston, TX, CCN 670077
  • Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610
  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J4556TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Citizens Medical Center County of Victoria Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: allysonpatronella@awwp-tx.direct.office.nextgen.com

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430697600000",
    "number": "1124028410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4581",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104581",
            "telephone_number": "713-464-2100",
            "fax_number": "281-392-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 KATY FWY",
            "address_2": "SUITE 315",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770941385",
            "telephone_number": "713-464-2100",
            "fax_number": "281-392-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRONELLA",
        "first_name": "ALLYSON",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2015-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J4556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0962250-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NUMBER",
            "identifier": "8U9983",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLYSON",
            "last_name": "THOMAS",
            "middle_name": "LYNETTE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.