Individual provider Active NPI

Kristin Lynette Whitfield Van Buren, MD

  • Pediatric Gastroenterology Physician
  • Houston, TX
National Provider Identifier
1477871333
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
M6953 Issued in TX
Practice address
6621 Fannin St
CC 1010.00
Houston, TX 77030-2303
Phone
(832) 822-3131
Fax
(832) 825-3633
NPI assigned
May 17, 2010
Last updated
Aug 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD439542 PA
Pediatric Gastroenterology Physician 2080P0206X MD439542 PA
Pediatric Gastroenterology Physician 2080P0206X M6953 TX Primary

Addresses

Primary practice location

6621 Fannin St
CC 1010.00
Houston, TX 77030-2303

Mailing address

6621 Fannin St
CC 1010.00
Houston, TX 77030-2303
Phone (832) 822-3131

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
I20121017000193 TX Practitioner - Pediatric MedicinePractitioner - Gastroenterology 9032242599 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD439542PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Sep 12, 2012 Accepting new patients
Baylor College of Medicine CurrentSince Sep 12, 2012 Accepting new patients
Texas Children's Physician Group Pediatrics Past Accepting new patients

Locations

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

6621 Fannin St
#101000
Houston, TX 77030
Phone (832) 822-1051

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

6701 Fannin St
Ste 1420
Houston, TX 77030
Phone (832) 822-4240

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

6701 Fannin St
Ste 1010
Houston, TX 77030
Phone (832) 822-1051

Organizations & group practices 3

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": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1477871333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 FANNIN ST",
            "address_2": "CC 1010.00",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302303",
            "telephone_number": "832-822-3131",
            "fax_number": "832-825-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 FANNIN ST",
            "address_2": "CC 1010.00",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302303",
            "telephone_number": "832-822-3131",
            "fax_number": "832-825-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITFIELD VAN BUREN",
        "first_name": "KRISTIN",
        "middle_name": "LYNETTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD439542",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "PA",
            "license": "MD439542",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "TX",
            "license": "M6953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.