Organization Active NPI

Kids Gi Kare PLLC

  • Pediatric Gastroenterology Physician
  • Cypress, TX
National Provider Identifier
1447768759
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
P8109 Issued in TX
Legal business name
KIDS GI KARE PLLC
Practice address
27700 Highway 290 Ste 355
Cypress, TX 77433
Phone
(281) 456-4575
Fax
(281) 940-2665
NPI assigned
Jan 21, 2018
Last updated
Feb 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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

Authorized official

Name
Baraa Alabd Alrazzak, MDNPI 1922312230
Title
President
Phone
(281) 456-4575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0206X P8109 TX Primary

Addresses

Primary practice location

27700 Highway 290 Ste 355
Cypress, TX 77433

Mailing address

27700 Highway 290 Ste 355
Cypress, TX 77433-6766
Phone (281) 456-4575

Other practice location 1

27700 Highway 290 Ste 355
Cypress, TX 77433
Phone (281) 456-4575

Other identifiers 2

IdentifierTypeStateIssuer
P8109OtherTXTEXAS MEDICAL LICENSE
3850406MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180423002154 TX Part B Supplier - Clinic/Group Practice 2365705282 Receives reassigned benefits from 4 practitioners
Practice locations: Cypress, TX

National Provider Directory

National Provider Directory

Locations

27700 NW Freeway
Ste 355
Cypress, TX 77433
Phone (281) 456-4575

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJGGBD

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1516492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550188800000",
    "number": "1447768759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27700 HIGHWAY 290 STE 355",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336766",
            "telephone_number": "281-456-4575",
            "fax_number": "281-940-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27700 HIGHWAY 290 STE 355",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "77433",
            "telephone_number": "281-456-4575",
            "fax_number": "281-940-2665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27700 Highway 290 Ste 355",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "77433",
            "country_code": "US",
            "telephone_number": "281-456-4575",
            "fax_number": "281-940-2665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIDS GI KARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-21",
        "last_updated": "2019-02-15",
        "status": "A",
        "authorized_official_last_name": "ALABD ALRAZZAK",
        "authorized_official_first_name": "BARAA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-456-4575",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "TX",
            "license": "P8109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "P8109",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3850406",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.