Individual provider Active NPI

Tina Grover, M.D.

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1245232230
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K0483 Issued in TX
Practice address
11914 Astoria Blvd Ste 450
Houston, TX 77089-6077
Phone
(281) 484-7619
Fax
(281) 484-7632
NPI assigned
Aug 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X K0483 TX Primary

Addresses

Primary practice location

11914 Astoria Blvd Ste 450
Houston, TX 77089-6077

Mailing address

11914 Astoria Blvd Ste 450
Houston, TX 77089-6077
Phone (281) 484-7619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241120004101 OH Practitioner - Pediatric Medicine 4880677731 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K0483TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc Pediatrics CurrentSince Nov 11, 2024 Accepting new patients
TCH Pediatric Associates, Inc Pediatrics Past Accepting new patients
Ar Texas Pediatrics, PLLC Pediatrics PastSince Apr 6, 2023 Accepting new patients
TCH Pediatric Associates, Inc Pediatrics Past Accepting new patients
Topcare Medical Group Inc PastSince Apr 6, 2023 Accepting new patients

Locations

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

11100 Euclid Ave
Cleveland Heights, OH 44106

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1245232230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11914 ASTORIA BLVD STE 450",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896077",
            "telephone_number": "281-484-7619",
            "fax_number": "281-484-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11914 ASTORIA BLVD STE 450",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896077",
            "telephone_number": "281-484-7619",
            "fax_number": "281-484-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVER",
        "first_name": "TINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K0483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.