Active NPI
Rachel Kelt Wilson, M.D.
- Pediatrics Physician
- Houston, TX
National Provider Identifier
1497142418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- R6806
- Practice address
- 6400 Fannin St Ste 2445
Houston, TX 77030 - Phone
- (713) 704-0669
- NPI assigned
- Apr 16, 2015
- 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 | R6806 | TX | Primary |
Addresses
Primary practice location
6400 Fannin St Ste 2445
Houston, TX 77030
Mailing address
909 Frostwood Dr Ste 1.100
Houston, TX 77024-2301
Other names 1
- Rachel Elizabeth Kelt
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 Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hermann Medical Group | Pediatrics | Current | Accepting new patients |
Locations
915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222
909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523
6400 Fannin St
Ste 2445
Houston, TX 77030
Phone (713) 704-0669
Interoperability endpoints
- rwilson151090@memorialhermann.direct-ci.com
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": "1429142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1497142418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 FROSTWOOD DR STE 1.100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 FANNIN ST STE 2445",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "713-704-0669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "RACHEL",
"middle_name": "KELT",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-16",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "R6806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "KELT",
"middle_name": "ELIZABETH",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 25, 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.