Individual provider Active NPI

Kelly Baker, P.A.-C

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1396761235
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA02179 Issued in TX
Practice address
921 Gessner Rd
Houston, TX 77024-2501
Phone
(713) 242-3000
NPI assigned
Jul 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA02179 TX Primary

Addresses

Primary practice location

921 Gessner Rd
Houston, TX 77024-2501

Mailing address

13614 Brighton Park Dr
Houston, TX 77044-4433
Phone (281) 225-7155

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
I20060127000371 TX Practitioner - Physician Assistant 3577577667 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3036 Northpark Dr
Victor Lugo Miro MD Privia Medica
Kingwood, TX 77339-5114
Phone (281) 360-8501

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast PLLC CurrentSince Nov 8, 2023 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Nov 8, 2023 Accepting new patients
Victor Lugo Miro MD PA CurrentSince Mar 5, 2016 Accepting new patients
Humble Emergency Physicains Professional Association Past Accepting new patients
Memorial Southeast Emergency Physicians, LLP Physician Assistant Past Accepting new patients
Memorial Southwest Emergency Physicians, LLP Physician Assistant Past Accepting new patients
Memorial Northwest Emergency Physicians, LLP Physician Assistant Past Accepting new patients
Memorial City Emergency Physicians, LLP Physician Assistant Past Accepting new patients

Locations

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

1200 Binz St
Ste 1490
Houston, TX 77004
Phone (713) 512-7027

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

3036 Northpark Dr
Kingwood, TX 77339
Phone (281) 360-8501

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kelly.goff-baker.1@8042.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396761235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13614 BRIGHTON PARK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770444433",
            "telephone_number": "281-225-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 GESSNER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242501",
            "telephone_number": "713-242-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KELLY",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.