Active NPI
Kristen Ezeude, MD
- Obstetrics & Gynecology Physician
- Pasadena, TX
National Provider Identifier
1548919194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- W5325
- Practice address
- 5119 Fairmont Pkwy Ste a
Pasadena, TX 77505-3758 - Phone
- (281) 991-7603
- NPI assigned
- Mar 21, 2022
- Last updated
- Aug 24, 2026
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | W5325 | TX | Primary |
Addresses
Primary practice location
5119 Fairmont Pkwy Ste a
Pasadena, TX 77505-3758
Mailing address
5119 Fairmont Pkwy Ste a
Pasadena, TX 77505-3758
Phone (281) 991-7603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220623001330 | GA | Order and Referring Only - Obstetrics/Gynecology | 1557740438 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women Specialists of Clear Lake, PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
5119 Fairmont Pkwy
Pasadena, TX 77505
Phone (281) 991-7603
5119 Fairmont Pkwy
Ste A
Pasadena, TX 77505
Phone (281) 991-7603
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nurse Practitioner
- Webster, TX
- NPI 1902298110
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1548919194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5119 FAIRMONT PKWY STE A",
"city": "PASADENA",
"state": "TX",
"postal_code": "775053758",
"telephone_number": "281-991-7603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5119 FAIRMONT PKWY STE A",
"city": "PASADENA",
"state": "TX",
"postal_code": "775053758",
"telephone_number": "281-991-7603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZEUDE",
"first_name": "KRISTEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-21",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "W5325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, TX
- Eyecare Group LLC (Bayshore Optical)
- Eyemasters of Texas LTD (Eyemasters)
- Eyemasters of Texas, LTD (EyeMasters)
- Ayo Renee Ezeamama, MSN
- Nnachebe Festus Ezechigbo
- Robert Leo Fairchild, MD
- Fairmont Childrens PLLC
- Fairmont Diagnostic and MRI Center LLC
- Fairmont Diagnostic Center and Open MRI
- Fairmont Endoscopy Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.