Individual provider Active NPI

Pedro Avila, MD

  • Allergy & Immunology Physician
  • Spring, TX
National Provider Identifier
1356312011
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
Q6305 Issued in TX
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, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Q6305OtherTXTEXAS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160122001670 TX Practitioner - Allergy/Immunology 4284658477 Reassigns benefits to 1 organization

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
Allergy and ENT Associates PLLCGroup PAC ID 4688660715, 31 clinicians

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

OrganizationSpecialtyStatusNew patients
Allergy & ENT Associates, PLLC Allergy & Immunology CurrentSince Jan 4, 2016 Accepting new patients
Austin Family Allergy & Asthma, PA Allergy & Immunology CurrentSince Jan 4, 2016 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.