Organization Active NPI

Pediatric and Adolescent Center of NW Houston, P a

  • Pediatrics Physician
  • Tomball, TX
National Provider Identifier
1255337812
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRIC AND ADOLESCENT CENTER OF NW HOUSTON, P A
Practice address
455 School St
Ste 26
Tomball, TX 77375-4597
Phone
(281) 357-5678
Fax
(281) 357-8765
NPI assigned
Jun 28, 2005
Last updated
Jan 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Authorized official

Name
Dr. Poonam Singh, M.D.NPI 1033113436
Title
Physician
Phone
(281) 357-5678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

455 School St
Ste 26
Tomball, TX 77375-4597

Mailing address

455 School St
Ste 26
Tomball, TX 77375-4597
Phone (281) 357-5678

Other identifiers 3

IdentifierTypeStateIssuer
160279901MedicaidTX
160279902OtherTXTEXAS HEALTH STEPS
0002JSOtherTXBLUE CROSS & BLUE SHIELD

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
45D0967800Pediatric & Adolescent Center of NW Houston, PA455 School Street, Suite 26, Tomball, TX 77375Certificate of waiverNov 22, 2027

National Provider Directory

National Provider Directory

Locations

14502 Cypress Mill Place Blvd
Ste 100
Cypress, TX 77429
Phone (281) 374-9700

12015 Louetta Rd
Ste 100
Houston, TX 77070
Phone (281) 374-9700

19059 Champion Forest Dr
Ste 101
Spring, TX 77379
Phone (281) 374-9700

455 School St
Ste 26
Tomball, TX 77375
Phone (281) 351-8407

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDJADA

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1255337812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SCHOOL ST",
            "address_2": "STE 26",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754597",
            "telephone_number": "281-357-5678",
            "fax_number": "281-357-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SCHOOL ST",
            "address_2": "STE 26",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754597",
            "telephone_number": "281-357-5678",
            "fax_number": "281-357-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC AND ADOLESCENT CENTER OF NW HOUSTON, P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "POONAM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "281-357-5678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160279901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS HEALTH STEPS",
            "identifier": "160279902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "0002JS",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.