Active NPI
Poanna Bennam, DO
- Pediatrics Physician
- Houston, TX
National Provider Identifier
1467034009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- V3244
- Practice address
- 8901 Boone Rd
Houston, TX 77099-1659 - Phone
- (281) 454-0500
- NPI assigned
- Apr 23, 2021
- Last updated
- Aug 27, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | V3244 | TX | Primary |
Addresses
Primary practice location
8901 Boone Rd
Houston, TX 77099-1659
Mailing address
8901 Boone Rd
Houston, TX 77099-1659
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Pediatrics | Current | Accepting new patients |
| Ut Physicians | Current | Accepting new patients |
Locations
6410 Fannin St
#135
Houston, TX 77030
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
6431 Fannin St
#3151
Houston, TX 77030
Phone (713) 500-5800
8901 Boone Rd
Houston, TX 77099
Phone (281) 454-0500
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1467034009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 BOONE RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770991659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 BOONE RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770991659",
"telephone_number": "281-454-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNAM",
"first_name": "POANNA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-23",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "V3244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.