Individual provider Active NPI

Kathleen H. Eberle, MD

  • Neurology Physician
  • Pearland, TX
National Provider Identifier
1356323943
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
L1025 Issued in TX
Practice address
10905 Memorial Hermann Dr
Ste 115
Pearland, TX 77584-3490
Phone
(713) 947-3100
Fax
(713) 704-1796
NPI assigned
Nov 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X L1025 TX Primary

Addresses

Primary practice location

10905 Memorial Hermann Dr
Ste 115
Pearland, TX 77584-3490

Mailing address

4141 Vista Rd
Pasadena, TX 77504-2113
Phone (713) 947-3100

Other identifiers 6

IdentifierTypeStateIssuer
DB6392OtherRAILROAD MEDICARE GROUP PTAN
00106WOtherTXMEDICARE GROUP PTAN - HARRIS
00X185OtherTXMEDICARE GROUP PTAN - BRAZORIA
153449704OtherTXMEDICAID GROUP TPI
8DC609OtherTXBLUE CROSS BLUE SHIELD INDIVIDUAL RECORD NUMBER
0035TDOtherTXBLUE CROSS BLUE SHIELD OF TEXAS GROUP RECORD NUMBER

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
I20100809000322 TX Practitioner - Neurology 8123125036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Baylor College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MHS Physicians of TexasGroup PAC ID 1557254968, 113 clinicians

Practice addresses (Care Compare)

10905 Memorial Hermann Dr
Pearland, TX 77584-3490

18955 N Memorial Dr
Suite 360
Humble, TX 77338-4396
Phone (281) 319-8530

4141 Vista Rd
Pasadena, TX 77504-2113
Phone (713) 947-3100

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1025TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MHS Physicians of Texas CurrentSince Mar 1, 2012 Accepting new patients
Memorial Hermann Neighborhood Health Centers, PLLC Neurology Current Accepting new patients
MHS Physicians of Texas Neurology CurrentSince Mar 1, 2012 Accepting new patients

Locations

6400 Fannin St
Ste 2070
Houston, TX 77030
Phone (713) 704-6731

18955 N Memorial Dr
Ste 360
Humble, TX 77338
Phone (281) 319-8530

4141 Vista Rd
Pasadena, TX 77504
Phone (713) 947-3100

10905 Memorial Hermann Dr
Ste 115
Pearland, TX 77584
Phone (281) 922-7222

10905 Memorial Hermann Dr
Ste 111
Pearland, TX 77584
Phone (281) 929-4727

Interoperability endpoints

  • Direct secure messaging: keberle468672@direct.stlukeshealth.org
  • Direct secure messaging: keberle65643@memorialhermann.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1356323943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 VISTA RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042113",
            "telephone_number": "713-947-3100",
            "fax_number": "713-947-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10905 MEMORIAL HERMANN DR",
            "address_2": "STE 115",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843490",
            "telephone_number": "713-947-3100",
            "fax_number": "713-704-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERLE",
        "first_name": "KATHLEEN",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "L1025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP PTAN",
            "identifier": "DB6392",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN - HARRIS",
            "identifier": "00106W",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN - BRAZORIA",
            "identifier": "00X185",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP TPI",
            "identifier": "153449704",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD INDIVIDUAL RECORD NUMBER",
            "identifier": "8DC609",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TEXAS  GROUP RECORD NUMBER",
            "identifier": "0035TD",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.