Individual provider Active NPI

Berkley Kingman Anderson, PA-C

  • Medical Physician Assistant
  • Houston, TX
National Provider Identifier
1396378238
Registry record updated Sep 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA13446 Issued in TX
Practice address
2525A Holly Hall St
Houston, TX 77054-4124
Phone
(713) 566-3600
NPI assigned
Feb 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA13446 TX Primary

Addresses

Primary practice location

2525A Holly Hall St
Houston, TX 77054-4124

Mailing address

1253 Peden St
Houston, TX 77006-0001
Phone (210) 833-9049

Other practice location 1

1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-8890 ext. 38890

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210107000203 TX Practitioner - Physician Assistant 8729491998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Baylor College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor College of MedicineGroup PAC ID 8224941265, 796 clinicians

Practice addresses (Care Compare)

1502 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-4900

1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-2000

2525 A Holly Hall St
Houston, TX 77054-4124
Phone (713) 526-4243

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.87 of 100Reported as group
Quality
87.77
Improvement activities
40
Cost
76.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA13446TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Dec 5, 2020 Accepting new patients
Baylor College of Medicine CurrentSince Dec 5, 2020 Accepting new patients

Locations

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

2525 Holly Hall St
#A
Houston, TX 77054
Phone (713) 526-4243

Organizations & group practices 2

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 1

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": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757203200000",
    "number": "1396378238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 PEDEN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770060001",
            "telephone_number": "210-833-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525A HOLLY HALL ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770544124",
            "telephone_number": "713-566-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1504 Taub Loop",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301608",
            "country_code": "US",
            "telephone_number": "713-873-8890 x38890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BERKLEY",
        "middle_name": "KINGMAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2025-09-07",
        "certification_date": "2025-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA13446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.