Individual provider Active NPI

Rachel Ann Rosenfeld, MD

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1477530319
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K4789 Issued in TX
Practice address
3517 Irvington Blvd Ste 200
Houston, TX 77009-5700
Phone
(832) 548-5000
NPI assigned
Dec 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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 K4789 TX Primary

Addresses

Primary practice location

3517 Irvington Blvd Ste 200
Houston, TX 77009-5700

Mailing address

3517 Irvington Blvd Ste 200
Houston, TX 77009-5700
Phone (832) 548-5000

Other identifiers 3

IdentifierTypeStateIssuer
2100167MedicaidOH
64033319MedicaidKY
1804907000MedicaidWV

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
I20241001000307 TX Practitioner - Pediatric Medicine 7810913654 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K4789TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Community Health Services, Inc CurrentSince Sep 12, 2024 Accepting new patients
Legacy Community Health Services, Inc Pediatrics CurrentSince Sep 12, 2024 Accepting new patients

Locations

3517 Irvington Blvd
Ste 200
Houston, TX 77009
Phone (713) 814-3590

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

5598 North Fwy
#A1
Houston, TX 77076

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.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1477530319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 IRVINGTON BLVD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770095700",
            "telephone_number": "832-548-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3517 IRVINGTON BLVD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770095700",
            "telephone_number": "832-548-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENFELD",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-30",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K4789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2100167",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64033319",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1804907000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.