Active NPI
Pedro Avila, MD
- Allergy & Immunology Physician
- Spring, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- Q6305
- Practice address
- 20631 Kuykendahl Rd
Suite 100
Spring, TX 77379-3318 - Phone
- (281) 453-1001
- Fax
- (281) 803-5515
- NPI assigned
- Jan 31, 2006
- Last updated
- Dec 22, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | Q6305 | TX | Primary |
| Allergy Physician | 207KA0200X | 036114428 | IL |
Addresses
Primary practice location
20631 Kuykendahl Rd
Suite 100
Spring, TX 77379-3318
Mailing address
20631 Kuykendahl Rd
Suite 100
Spring, TX 77379-3318
Phone (281) 453-1001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q6305 | Other | TX | TEXAS 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
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20631 Kuykendahl Rd
Suite 100
Spring, TX 77379-3318
Phone (281) 453-1001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy & ENT Associates, PLLC | Allergy & Immunology | Current | Accepting new patients |
| Austin Family Allergy & Asthma, PA | Allergy & Immunology | Current | Accepting new patients |
| Allergy & ENT Associates, PLLC | Allergy & Immunology | Current | Accepting new patients |
Locations
14800 Frye Rd
Fl 2
Ft Worth, TX 76155
9223 Broadway St
Ste 103
Pearland, TX 77584
Phone (281) 412-7111
20631 Kuykendahl Rd
Ste 100
Spring, TX 77379
Phone (281) 453-1001
10847 Kuykendahl Rd
Ste 100
The Woodlands, TX 77382
Phone (281) 364-8001
9301 Pinecroft Dr
Ste 100
The Woodlands, TX 77380
Phone (281) 364-1001
561 W Medical Center Blvd
Ste G
Webster, TX 77598
Phone (281) 332-2348
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Allergy & Immunology Physician
- Lake Jackson, TX
- NPI 1902820368
-
- Allergy & Immunology Physician
- Houston, TX
- NPI 1093739450
-
dba Allergy & ENT Associates PLLC
- Allergy & Immunology Physician
- Austin, TX
- NPI 1578625190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450742400000",
"number": "1356312011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20631 KUYKENDAHL RD",
"address_2": "SUITE 100",
"city": "SPRING",
"state": "TX",
"postal_code": "773793318",
"telephone_number": "281-453-1001",
"fax_number": "281-803-5515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20631 KUYKENDAHL RD",
"address_2": "SUITE 100",
"city": "SPRING",
"state": "TX",
"postal_code": "773793318",
"telephone_number": "281-453-1001",
"fax_number": "281-803-5515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVILA",
"first_name": "PEDRO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-31",
"last_updated": "2015-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "TX",
"license": "Q6305",
"primary": true
},
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "IL",
"license": "036114428",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL LICENSE",
"identifier": "Q6305",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.
- 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.