Organization Active NPI

Airline Doctors Family and Pediatric Clinics,PLLC

  • Pediatric Adolescent Medicine Physician
  • Houston, TX
National Provider Identifier
1295149144
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
AIRLINE DOCTORS FAMILY AND PEDIATRIC CLINICS,PLLC
Practice address
5990 Airline Dr
160A
Houston, TX 77076-4233
Phone
(281) 727-9094
NPI assigned
Jun 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Authorized official

Name
Rudolfo Giraldi
Title
Member Manager
Phone
(281) 727-9094

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Pediatric Adolescent Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080A0000X Primary

Addresses

Primary practice location

5990 Airline Dr
160A
Houston, TX 77076-4233

Mailing address

5200 Mitchelldale St
F-27
Houston, TX 77092-7206
Phone (281) 727-9094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141015001588 TX Part B Supplier - Clinic/Group Practice 4789805862 Receives reassigned benefits from 5 practitioners
Practice locations: Houston, TX

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
45D2096237Airline Doctors Family & Pediatric LLC5990 Airline Dr Suite 170, Houston, TX 77076Certificate of waiverMay 18, 2027

National Provider Directory

National Provider Directory

Locations

5990 Airline Dr
Ste 160
Houston, TX 77076
Phone (713) 695-9947

5990 Airline Dr
Ste 170A
Houston, TX 77076

5990 Airline Dr
Ste 170
Houston, TX 77076

5990 Airline Dr
#160A
Houston, TX 77076
Phone (281) 727-9094

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1295149144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 MITCHELLDALE ST",
            "address_2": "F-27",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770927206",
            "telephone_number": "281-727-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5990 AIRLINE DR",
            "address_2": "160A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764233",
            "telephone_number": "281-727-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIRLINE DOCTORS FAMILY AND PEDIATRIC CLINICS,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "GIRALDI",
        "authorized_official_first_name": "RUDOLFO",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "281-727-9094"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "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 Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.