Individual provider Active NPI

Heba K Aboul-Fotouh

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1205193919
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
Q4353 Issued in TX
Practice address
2051 Greenhouse Rd Ste 120
Houston, TX 77084-7305
Phone
(281) 492-7676
Fax
(281) 492-8133
NPI assigned
Apr 19, 2012
Last updated
Feb 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 09600287 TX
Pediatrics Physician 208000000X Q4353 TX Primary

Addresses

Primary practice location

2051 Greenhouse Rd Ste 120
Houston, TX 77084-7305

Mailing address

20016 Chase Stone CT
Katy, TX 77450-3010
Phone (832) 277-3555

Other identifiers 1

IdentifierTypeStateIssuer
349087201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Q4353TXMDPediatrics Physician
09600287TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Katy Pediatric Associates Single Specialty CurrentSince Feb 9, 2025 Accepting new patients

Locations

2051 Greenhouse Rd
Ste 120
Houston, TX 77084
Phone (281) 492-7676

777 S Fry Rd
Ste 207
Katy, TX 77450
Phone (281) 492-7676

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1205193919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20016 CHASE STONE CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774503010",
            "telephone_number": "832-277-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 GREENHOUSE RD STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847305",
            "telephone_number": "281-492-7676",
            "fax_number": "281-492-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOUL-FOTOUH",
        "first_name": "HEBA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "09600287",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q4353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "349087201",
            "state": "TX"
        }
    ],
    "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 Feb 14, 2023; 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.