Active NPI
Beena M Thomas
- Pediatrics Physician
- Webster, TX
National Provider Identifier
1336237387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- K9434
- Practice address
- 333 N Texas Ave
Suite 4300
Webster, TX 77598-4966 - Phone
- (281) 338-5437
- Fax
- (281) 338-9543
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- No
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 | K9434 | TX | Primary |
Addresses
Primary practice location
333 N Texas Ave
Suite 4300
Webster, TX 77598-4966
Mailing address
P.O. Box 4346 Dept 494
Houston, TX 77210-4346
Phone (281) 646-1935
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8W9481 | Other | TX | BCBS INDIVIDUAL ID |
| 0017PC | Other | TX | BCBS GROUP ID |
| 201032630 | Other | TX | TAX ID |
| K9434 | Other | TX | MEDICAL LICENSE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utmb Faculty Group Practice | Pediatrics | Current | Accepting new patients |
| Robert L Quillin, MD | Pediatrics | Past | Accepting new patients |
Locations
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001
333 N Texas Ave
Ste 4300
Webster, TX 77598
Phone (281) 338-5437
333 N Texas Ave
Webster, TX 77598
Phone (281) 335-1700
Interoperability endpoints
- bthomas31115@direct.utmb.edu
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Webster, TX
- NPI 1134341225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243814400000",
"number": "1336237387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 4346 DEPT 494",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772104346",
"telephone_number": "281-646-1935",
"fax_number": "281-646-0927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 N TEXAS AVE",
"address_2": "SUITE 4300",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775984966",
"telephone_number": "281-338-5437",
"fax_number": "281-338-9543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "BEENA",
"middle_name": "M",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2009-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "K9434",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL ID",
"identifier": "8W9481",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP ID",
"identifier": "0017PC",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "201032630",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "K9434",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Webster, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.