Individual provider Active NPI

Alexandra Simotas, M.D.

  • Obstetrics & Gynecology Physician
  • Houston, TX
National Provider Identifier
1528035656
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
K8841 Issued in TX
Practice address
11301 Fallbrook Dr
Suite 204
Houston, TX 77065-4237
Phone
(281) 469-3399
Fax
(281) 469-4499
NPI assigned
Mar 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X K8841 TX Primary

Addresses

Primary practice location

11301 Fallbrook Dr
Suite 204
Houston, TX 77065-4237

Mailing address

11301 Fallbrook Dr
Suite 204
Houston, TX 77065-4237
Phone (281) 469-3399

Other identifiers 1

IdentifierTypeStateIssuer
146906603MedicaidTX

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
I20040520001221 TX Practitioner - Obstetrics/Gynecology 1850382599 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K8841TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Texas Billing, Inc. Obstetrics & Gynecology CurrentSince Jan 3, 2025 Accepting new patients
Kelsey-Seybold Medical Group, PLLC Obstetrics & Gynecology Past Accepting new patients

Locations

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

3500 Gaston Ave
Dallas, TX 75246

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1528035656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 FALLBROOK DR",
            "address_2": "SUITE 204",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654237",
            "telephone_number": "281-469-3399",
            "fax_number": "281-469-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 FALLBROOK DR",
            "address_2": "SUITE 204",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654237",
            "telephone_number": "281-469-3399",
            "fax_number": "281-469-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMOTAS",
        "first_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K8841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146906603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.