Individual provider Active NPI

Pennye M Rohde, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1184779456
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA02313 Issued in TX
Practice address
2620 E Crosstimbers St Ste 100
Houston, TX 77093-8629
Phone
(713) 486-8550
Fax
(713) 692-2500
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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 PA02313 TX Primary

Addresses

Primary practice location

2620 E Crosstimbers St Ste 100
Houston, TX 77093-8629

Mailing address

1086 Lamonte LN
Houston, TX 77018-4319
Phone (832) 483-4158

Other identifiers 1

IdentifierTypeStateIssuer
PA02313OtherTXLICENCE

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
I20130418000211 TX Practitioner - Physician Assistant 9032355060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

6410 Fannin St
Houston, TX 77030-3005

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Physician Assistant CurrentSince Jan 23, 2023 Accepting new patients
St. Hope Foundation, Inc CurrentSince Jan 20, 2013 Accepting new patients
Ut Physicians CurrentSince Jan 23, 2023 Accepting new patients
St Hope Foundation Inc CurrentSince Jan 20, 2013 Accepting new patients

Locations

6800 West Loop S
Ste 560
Bellaire, TX 77401
Phone (713) 839-7111

1414 S Frazier St
Ste 105
Conroe, TX 77301
Phone (936) 441-2440

2620 E Crosstimbers St
Ste 100
Houston, TX 77093
Phone (713) 486-8550

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6200 Savoy Dr
Ste 540
Houston, TX 77036
Phone (713) 778-1300

Organizations & group practices 4

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 6

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1184779456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 LAMONTE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770184319",
            "telephone_number": "832-483-4158",
            "fax_number": "713-778-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 E CROSSTIMBERS ST STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770938629",
            "telephone_number": "713-486-8550",
            "fax_number": "713-692-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHDE",
        "first_name": "PENNYE",
        "middle_name": "M",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "PA02313",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.