Active NPI
Grace Ang Monroy, MD
- Pediatrics Physician
- Houston, TX
National Provider Identifier
1295848349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- K1572
- Practice address
- 2925 W T C Jester Blvd Ste 16
Houston, TX 77018 - Phone
- (713) 681-7334
- Fax
- (713) 681-8520
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | K1572 | TX | Primary |
Addresses
Primary practice location
2925 W T C Jester Blvd Ste 16
Houston, TX 77018
Mailing address
PO Box 926289
Houston, TX 77292-6289
Phone (713) 681-7334
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113414007 | Medicaid | TX | |
| 113414008 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K1572 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Chiropractic and Wellness P.L.L.C. | Past | Accepting new patients | |
| Kids 'N Teens Clinics | Pediatrics | Past | Accepting new patients |
| Kids 'N Teens Clinics, P.a. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JDHGCA/Endpoint/JDHGCA
Organizations & group practices 3
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.
-
- Chiropractor
- League City, TX
- NPI 1972750719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1295848349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 926289",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772926289",
"telephone_number": "713-681-7334",
"fax_number": "713-681-8520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2925 W T C JESTER BLVD STE 16",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77018",
"telephone_number": "713-681-7334",
"fax_number": "713-681-8520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONROY",
"first_name": "GRACE",
"middle_name": "ANG",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "K1572",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113414007",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113414008",
"state": "TX"
}
],
"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 Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.