Active NPI
Thomas Patrick Fogarty III, MD
- Pediatric Critical Care Medicine Physician
- Houston, TX
National Provider Identifier
1275890634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- Q5404
- Practice address
- 1 Baylor PLZ
BCM 320, Department of Pediatrics
Houston, TX 77030-3411 - Phone
- (832) 824-1170
- Fax
- (832) 825-9302
- NPI assigned
- Apr 23, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | Q5404 | TX | Primary |
Addresses
Primary practice location
1 Baylor PLZ
BCM 320, Department of Pediatrics
Houston, TX 77030-3411
Mailing address
One Baylor Plaza
BCM 320, Department of Pediatric Critical Care Medicine
Houston, TX 77030-3411
Phone (832) 826-6230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q5404 | TX | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Children'S Physician Group | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
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": "1335139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524441600000",
"number": "1275890634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE BAYLOR PLAZA",
"address_2": "BCM 320, DEPARTMENT OF PEDIATRIC CRITICAL CARE MEDICINE",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303411",
"telephone_number": "832-826-6230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BAYLOR PLZ",
"address_2": "BCM 320, DEPARTMENT OF PEDIATRICS",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303411",
"telephone_number": "832-824-1170",
"fax_number": "832-825-9302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOGARTY",
"first_name": "THOMAS",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-23",
"last_updated": "2018-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "TX",
"license": "Q5404",
"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 Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.