NPIMap

Individual provider Active NPI

Alicia Beatriz Romero, MD

  • Nephrology Physician
  • Katy, TX
National Provider Identifier
1346444924
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
N9946 Issued in TX
Practice address
411 Park Grove LN Suite 310
Katy, TX 77450
Phone
(281) 579-5799
Fax
(281) 579-5798
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X N9946 TX Primary

Addresses

Primary practice location

411 Park Grove LN Suite 310
Katy, TX 77450

Mailing address

411 Park Grove LN Suite 310
Katy, TX 77450-2449
Phone (713) 464-9100

Other identifiers 2

IdentifierTypeStateIssuer
286410001MedicaidTX
3863980285OtherMYUTMB 3863980285-COMMERCIAL NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111028000166 TX Practitioner - Nephrology 8123291622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rahul Prakash, M.D., P.a.Group PAC ID 2264322189, 12 clinicians

Practice addresses (Care Compare)

411 Park Grove Dr
Suite 310
Katy, TX 77450-1580
Phone (284) 579-5799

902 Frostwood Dr
Suite 165
Houston, TX 77024-2449
Phone (713) 464-9100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rahul Prakash, M.D., P.a. CurrentSince Sep 1, 2011 Accepting new patients
Rahul Prakash, M.D., P.a. Nephrology CurrentSince Sep 1, 2011 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

902 Frostwood Dr
Ste 165
Houston, TX 77024
Phone (713) 464-9100

2222 Greenhouse Rd
Ste 1500
Houston, TX 77084
Phone (713) 464-9100

411 Park Grove Dr
Ste 310
Katy, TX 77450
Phone (281) 579-5799

21720 Kingsland Blvd
Ste 308
Katy, TX 77450
Phone (281) 579-5799

1036 N Circle Dr
Sealy, TX 77474
Phone (281) 302-6636

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1346444924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 PARK GROVE LN SUITE 310",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502449",
            "telephone_number": "713-464-9100",
            "fax_number": "713-468-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 PARK GROVE LN SUITE 310",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "281-579-5799",
            "fax_number": "281-579-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "ALICIA",
        "middle_name": "BEATRIZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "N9946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286410001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 3863980285-COMMERCIAL NUMBER",
            "identifier": "3863980285",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.