Active NPI
Heba K Aboul-Fotouh
- Pediatrics Physician
- Houston, TX
National Provider Identifier
1205193919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- Q4353
- 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, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 349087201 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| Q4353 | TX | MD | Pediatrics Physician |
| 09600287 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katy Pediatric Associates | Single Specialty | Current | 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.