Active NPI
Chasity Custer, MD
- Pediatric Critical Care Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- T3064
- Practice address
- 1 Baylor PLZ # Bcm320
Houston, TX 77030-3411 - Phone
- (832) 824-1173
- NPI assigned
- Mar 29, 2018
- Sex
- Female
- Sole proprietor
- No
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 | |||
| Pediatric Critical Care Medicine Physician | 2080P0203X | T3064 | TX | Primary |
Addresses
Primary practice location
1 Baylor PLZ # Bcm320
Houston, TX 77030-3411
Mailing address
1234 Van Voorhis Rd Apt C7
Morgantown, WV 26505-3467
Phone (208) 440-3690
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- West Virginia University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7601 Preston Rd
Suite P1100
Plano, TX 75024-3214
Phone (469) 303-7000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T3064 | TX | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Texas Children'S Physician Group | Past | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Past | Accepting new patients | |
| Children'S Health System of Texas | Past | Accepting new patients |
Locations
2222 Welborn St
Dallas, TX 75219
Phone (214) 559-5000
1935 Medical District Dr
Unit A
Dallas, TX 75235
420 E 6th St
Ste 202
Odessa, TX 79761
Phone (214) 648-9618
7601 Preston Rd
Ste P1100
Plano, TX 75024
Phone (214) 456-2382
7601 Preston Rd
Ste P
Plano, TX 75024
Phone (469) 203-4200
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Pediatrics Physician
- Plano, TX
- NPI 1598789984
-
- Children's Hospital
- Dallas, TX
- NPI 1194743013
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1760452767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731110400000",
"number": "1235634213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 VAN VOORHIS RD APT C7",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265053467",
"telephone_number": "208-440-3690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BAYLOR PLZ # BCM320",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303411",
"telephone_number": "832-824-1173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSTER",
"first_name": "CHASITY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-29",
"last_updated": "2024-11-09",
"certification_date": "2024-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "TX",
"license": "T3064",
"primary": true
}
],
"identifiers": [],
"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 Nov 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.