Virginia Alicia Pittman-Waller, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

K5666 Issued in TX

Practice address

3003 South Loop West
Suite 210
Houston, TX 77054

Phone

(210) 416-6000

NPI assigned

May 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pittman Plastic Surgery PLLC Professional name

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

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Pittman Plastic Surgery PLLC

  • Medical Specialty Clinic/Center
  • Houston, TX
  • NPI 1306691167
  Medicare reassignment NPD Authorized official
• Le Family Practice and Health Center, P.L.L.C

  • Family Medicine Physician
  • Houston, TX
  • NPI 1649468117
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1376593939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 W 41ST STREET",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77018",
            "telephone_number": "210-416-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 SOUTH LOOP WEST",
            "address_2": "SUITE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77054",
            "telephone_number": "210-416-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN-WALLER",
        "first_name": "VIRGINIA",
        "middle_name": "ALICIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2023-12-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "K5666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420551001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PITTMAN",
            "last_name": "SURGERY PLLC",
            "middle_name": "PLASTIC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jennifer Pitlik
• Lyndsay Pitlock
• Alex Pitre, CCC SLP ED.D.
• Rylie Pittard, NP
• Pittman Plastic Surgery PLLC
• Betty Jean Pittman, M.A., CCC-A
• Dorshena Morris Pittman, P.T.
• Evelyn Joyce Pittman, NURSE
• Henry Martez Pittman, MA
• Patricia Ann Pittman

• Plastic Surgery Physician in Houston, TX
• Providers in Houston, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.

Verify at the official NPI Registry.