Individual provider Active NPI

Andrea Michelle Silva

  • Pediatrics Physician
  • Katy, TX
National Provider Identifier
1265964902
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
S5197 Issued in TX
Practice address
19333 Clay Rd
Katy, TX 77449-4001
Phone
(713) 462-6565
Fax
(281) 717-4456
NPI assigned
Mar 31, 2017
Last updated
May 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X S5197 TX Primary

Addresses

Primary practice location

19333 Clay Rd
Katy, TX 77449-4001

Mailing address

800 W Sam Houston Pkwy S Ste 200
Houston, TX 77042-1914

Other practice location 1

999 N 92nd St
Milwaukee, WI 53226-4875
Phone (414) 266-6803

Other names 1

  • Andrea Michelle Jimenez Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL KATY Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200629003876 TX Practitioner - Pediatric Medicine 3577808930 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S5197TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Branch Community Health Center Current Accepting new patients
Spring Branch Community Health Center CurrentSince Jun 1, 2020 Accepting new patients
Spring Branch Community Health Center Pediatrics CurrentSince Jun 1, 2020 Accepting new patients
Texas Children's Urgent Care Pediatrics Past Accepting new patients
TCH Pediatric Associates, Inc Pediatrics Past Accepting new patients
Starlight Pediatric Urgent Care Pediatrics Past Accepting new patients
TCH Pediatric Associates, Inc Pediatrics PastSince Feb 13, 2022 Accepting new patients

Locations

1615 Hillendahl Blvd
Ste 100
Houston, TX 77055
Phone 7134626565125

800 W Sam Houston Pkwy S
Ste 200
Houston, TX 77042
Phone (832) 786-1018

5502 1st St
Katy, TX 77493
Phone 7134626565127

19333 Clay Rd
Katy, TX 77449
Phone (713) 462-6555

Interoperability endpoints

  • Direct secure messaging: asilva463346@prddirect.texaschildrens.org

Organizations & group practices 7

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": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1265964902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W SAM HOUSTON PKWY S STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770421914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19333 CLAY RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774494001",
            "telephone_number": "713-462-6565",
            "fax_number": "281-717-4456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "999 N 92nd St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532264875",
            "country_code": "US",
            "telephone_number": "414-266-6803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVA",
        "first_name": "ANDREA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S5197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "KATY",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19333 Clay Rd",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774494001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "JIMENEZ",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.