Individual provider Active NPI

Grace Iveth Hidalgo Armenta, MD

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1407376221
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
S6207 Issued in TX
Practice address
5230 Aldine Mail Rte
Houston, TX 77039-3804
Phone
(281) 598-3300
Fax
(281) 598-3305
NPI assigned
Jun 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X S6207 TX Primary

Addresses

Primary practice location

5230 Aldine Mail Rte
Houston, TX 77039-3804

Mailing address

122 W John Carpenter Fwy Ste 420
Irving, TX 75039-2014
Phone (972) 957-3000

Other practice location 1

6155 Junction Blvd Apt 14N
Rego Park, NY 11374-2792
Phone (305) 586-7694

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
I20200713001982 TX Practitioner - Pediatric Medicine 7113262122 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S6207TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Topcare Medical Group Inc CurrentSince Jun 4, 2020 Accepting new patients

Locations

12377 Merit Dr
Ste 300
Dallas, TX 75251

10058A Long Point Rd
Houston, TX 77055
Phone (832) 380-3980

5230 Aldine Mail Rte
Houston, TX 77039
Phone (281) 598-3300

222 Las Colinas Blvd W
Ste 2000
Irving, TX 75039

122 W John Carpenter Fwy
Ste 420
Irving, TX 75039

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407376221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W JOHN CARPENTER FWY STE 420",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392014",
            "telephone_number": "972-957-3000",
            "fax_number": "972-957-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 ALDINE MAIL RTE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770393804",
            "telephone_number": "281-598-3300",
            "fax_number": "281-598-3305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6155 Junction Blvd Apt 14N",
            "address_purpose": "LOCATION",
            "city": "Rego Park",
            "state": "NY",
            "postal_code": "113742792",
            "country_code": "US",
            "telephone_number": "305-586-7694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIDALGO ARMENTA",
        "first_name": "GRACE",
        "middle_name": "IVETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2022-07-21",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S6207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.