Organization Active NPI

Houston Pediatric Gastroenterology, PLLC

  • Pediatric Gastroenterology Physician
  • Houston, TX
National Provider Identifier
1629836697
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
Legal business name
HOUSTON PEDIATRIC GASTROENTEROLOGY, PLLC
Practice address
2045 Space Park Dr Ste 280
Houston, TX 77058-6311
Phone
(832) 205-8215
NPI assigned
Mar 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Authorized official

Name
Dr. Ashish Narayan Debroy, MDNPI 1215146345
Title
Owner/Physician
Phone
(832) 285-2938

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
Pediatric Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0206X Primary

Addresses

Primary practice location

2045 Space Park Dr Ste 280
Houston, TX 77058-6311

Mailing address

2700 Cullen Blvd Unit 842247
Pearland, TX 77584-1989
Phone (832) 285-2938

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240730001330 TX Part B Supplier - Clinic/Group Practice 5698212439 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX; Pasadena, TX; Webster, TX

National Provider Directory

National Provider Directory

Locations

2045 Space Park Dr
Ste 280
Houston, TX 77058
Phone (832) 205-8215

2700 Cullen Blvd
Unit 842247
Pearland, TX 77584

560 Blossom St
Ste B
Webster, TX 77598
Phone (281) 338-1382

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1629836697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CULLEN BLVD UNIT 842247",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775841989",
            "telephone_number": "832-285-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 SPACE PARK DR STE 280",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770586311",
            "telephone_number": "832-205-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON PEDIATRIC GASTROENTEROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "DEBROY",
        "authorized_official_first_name": "ASHISH",
        "authorized_official_middle_name": "NARAYAN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "832-285-2938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.