Active NPI
Kathryn Marie Fitzwater, MD
- Pediatrics Physician
- Cleveland, TX
National Provider Identifier
1306333612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- T4747
- Practice address
- 300 E Houston St Ste a
Cleveland, TX 77327-4554 - Phone
- (281) 592-9775
- NPI assigned
- Apr 23, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
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.
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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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220705000651 | TX | Practitioner - Pediatric Medicine | 5092117143 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A163778 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Pediatrics | Current | Accepting new patients |
| Ut Physicians | Current | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients | |
| Calvary Medical, PA | Past | Accepting new patients | |
| Memorial Hermann Health System | Past | Accepting new patients |
Locations
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200
17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | T4747 | TX | Primary |
| Pediatrics Physician | 208000000X | A163778 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
NPPES NPI RegistryPrimary practice location
300 E Houston St Ste a
Cleveland, TX 77327-4554
Mailing address
108 S William Barnett Ave
Cleveland, TX 77327-4542
Phone (281) 592-9775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 12, 2026.
{
"created_epoch": "1524441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1306333612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 S WILLIAM BARNETT AVE",
"city": "CLEVELAND",
"state": "TX",
"postal_code": "773274542",
"telephone_number": "281-592-9775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E HOUSTON ST STE A",
"city": "CLEVELAND",
"state": "TX",
"postal_code": "773274554",
"telephone_number": "281-592-9775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZWATER",
"first_name": "KATHRYN",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-23",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "T4747",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A163778",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.