Organization Active NPI

Neighborhood Pediatrics

  • Pediatrics Physician
  • Shenandoah, TX
National Provider Identifier
1548524150
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
NEIGHBORHOOD PEDIATRICS
Practice address
19221 I-45 S
Suite 430
Shenandoah, TX 77385-8756
Phone
(832) 813-5743
Fax
(832) 813-8127
NPI assigned
Jun 28, 2012
Last updated
Jun 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Authorized official

Name
Dr. Rachel McConnell, MDNPI 1790989374
Title
Member
Phone
(832) 813-5743

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

19221 I-45 S
Suite 430
Shenandoah, TX 77385-8756

Mailing address

19221 I 45 S Ste 430
Shenandoah, TX 77385-8770
Phone (832) 813-5743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120911000348 TX Part B Supplier - Clinic/Group Practice 7719135094 Receives reassigned benefits from 2 practitioners
Practice locations: Shenandoah, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2043652Neighborhood Pediatrics, PLLC19221 I-45 South Suite 430, Shenandoah, TX 77385Certificate of waiverJul 5, 2028

National Provider Directory

National Provider Directory

Locations

19221 Interstate 45 S
Ste 430
Shenandoah, TX 77385
Phone (281) 419-1464

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1548524150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19221 I 45 S STE 430",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858770",
            "telephone_number": "832-813-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19221 I-45 S",
            "address_2": "SUITE 430",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858756",
            "telephone_number": "832-813-5743",
            "fax_number": "832-813-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-28",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "832-813-5743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.