Organization Active NPI

Westside Pediatrics

  • Pediatrics Physician
  • Katy, TX
National Provider Identifier
1225676547
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
WESTSIDE PEDIATRICS
Practice address
21222 Kingsland Blvd
Katy, TX 77450-5898
Phone
(281) 578-5788
NPI assigned
Dec 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Agnes Kisch
Title
Doctor
Phone
(832) 398-8297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

21222 Kingsland Blvd
Katy, TX 77450-5898

Mailing address

21222 Kingsland Blvd
Katy, TX 77450-5898

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1049014Westside Pediatrics21222 Kingsland Blvd, Katy, TX 77450Certificate of waiverAug 28, 2026

National Provider Directory

National Provider Directory

Locations

20903 Kingsland Blvd
Katy, TX 77450
Phone (281) 578-3863

NPI Registry JSON

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1225676547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21222 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774505898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21222 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774505898",
            "telephone_number": "281-578-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "KISCH",
        "authorized_official_first_name": "AGNES",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "832-398-8297"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.