Organization Active NPI

Memorial Pediatrics

  • Pediatrics Physician
  • Pasadena, TX
National Provider Identifier
1194964767
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
F7977 Issued in TX
Legal business name
MEMORIAL PEDIATRICS
Practice address
4024 Brookhaven Ave
Pasadena, TX 77504-1902
Phone
(713) 944-2324
Fax
(713) 944-1539
NPI assigned
Feb 5, 2009
Last updated
Feb 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Authorized official

Name
Dr. Karim H. Romman, M.D.NPI 1003971755
Title
Owner/Physician
Phone
(281) 484-6060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X F7977 TX Primary

Addresses

Primary practice location

4024 Brookhaven Ave
Pasadena, TX 77504-1902

Mailing address

13630 Beamer Rd
Houston, TX 77089-6069
Phone (281) 484-6060

Other identifiers 4

IdentifierTypeStateIssuer
111822604MedicaidTX
111822602MedicaidTX
149430401MedicaidTX
111822601MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Memorial Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13630 Beamer Rd
Houston, TX 77089
Phone (281) 481-3341

4024 Brookhaven Ave
Pasadena, TX 77504
Phone (713) 944-2324

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1194964767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13630 BEAMER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896069",
            "telephone_number": "281-484-6060",
            "fax_number": "281-484-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 BROOKHAVEN AVE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041902",
            "telephone_number": "713-944-2324",
            "fax_number": "713-944-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "ROMMAN",
        "authorized_official_first_name": "KARIM",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "281-484-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "F7977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111822604",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111822602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149430401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111822601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.