Individual provider Active NPI

Kristen Ezeude, MD

  • Obstetrics & Gynecology Physician
  • Pasadena, TX
National Provider Identifier
1548919194
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
W5325 Issued in TX
Practice address
5119 Fairmont Pkwy Ste a
Pasadena, TX 77505-3758
Phone
(281) 991-7603
NPI assigned
Mar 21, 2022
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220623001330 GA Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 1557740438

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Women Specialists of Clear Lake, PLLC Obstetrics & Gynecology CurrentSince Sep 1, 2026 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.

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

Sources for this page

Verify at the official NPI Registry.