Organization Active NPI

Pediatrix Medical Group of Texas Billing, Inc.

  • Neonatal-Perinatal Medicine Physician
  • Houston, TX
National Provider Identifier
1649377359
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
Legal business name
PEDIATRIX MEDICAL GROUP OF TEXAS BILLING, INC.
Practice address
2929 Woodland Park Dr
Houston, TX 77082-2687
Phone
(281) 293-7774
NPI assigned
Sep 17, 2006
Last updated
Aug 4, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PEDIATRIX MEDICAL SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Authorized official

Name
Dr. Michael D Dwyer
Title
Assistant Secretary
Phone
(954) 384-0175

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Neonatal-Perinatal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080N0001X Primary
Pediatric Critical Care Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0203X
Neurocritical Care PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084A2900X

Addresses

Primary practice location

2929 Woodland Park Dr
Houston, TX 77082-2687

Mailing address

1301 Concord Ter
Sunrise, FL 33323-2843
Phone (954) 384-0175

Other practice location 1

712 N Washington Ave Ste 510
Dallas, TX 75246-2600
Phone (214) 827-7081

Other identifiers 50

IdentifierTypeStateIssuer
137308617MedicaidTX
137308631MedicaidTX
169372301MedicaidTX
137308619MedicaidTX
141686903MedicaidTX
141691904MedicaidTX
141691908MedicaidTX
8206898OtherTXAETNA
95656049MedicaidTX
137308612MedicaidTX
137308621MedicaidTX
141606701MedicaidTX
141611701MedicaidTX
144542102MedicaidTX
184048701MedicaidTX
184818601MedicaidTX
00059HOtherTXBCBS
00059HOtherTXMEDICARE
0055BROtherTXBCBS
0084AOtherMEDICARE
137308637MedicaidTX
141691901MedicaidTX
141691909MedicaidTX
144542103MedicaidTX
144542104MedicaidTX
177999301MedicaidTX
187119601MedicaidTX
Z000U99U2OtherTXMEDICARE
00186ROtherTXBCBS
0055BROtherTXMEDICARE
137308633MedicaidTX
141691903MedicaidTX
137308620MedicaidTX
141691910MedicaidTX
144542105MedicaidTX
178099101MedicaidTX
289221213AMedicaidTX
0084AZOtherTXMEDICARE
00R66ZOtherTXMEDICARE
00U99UOtherTXBCBS
141691906MedicaidTX
0067GWOtherTXBCBS
0084AZOtherTXBCBS
0098JQOtherTXBCBS
137308614MedicaidTX
137308623MedicaidTX
141691911MedicaidTX
141691914MedicaidTX
529907870MedicaidTX
529908050MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110907001264 TX Part B Supplier - Clinic/Group Practice 0042283921 Receives reassigned benefits from 512 practitioners

National Provider Directory

National Provider Directory
Tax ID family
Pediatrix Medical Group of Texas Billing Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations (25 of 36)

8437 Crossland Loop
Montgomery, AL 36117
Phone (334) 463-9391

1015 E 32nd St
Ste 405
Austin, TX 78705
Phone (512) 476-0895

601 E 15th St
Fl 5
Austin, TX 78701

12655 N Central Expy
Ste 300
Dallas, TX 75243
Phone (972) 788-1858

3500 Gaston Ave
Ste 3
Dallas, TX 75246

3500 Gaston Ave
Ste 3HOB
Dallas, TX 75246

4000 Junius St
Dallas, TX 75246
Phone (214) 820-8988

411 N Washington Ave
Ste 6400
Dallas, TX 75246
Phone (214) 826-3681

8210 Walnut Hill Ln
Ste 208
Dallas, TX 75231

1900 N Oregon St
Ste 601
El Paso, TX 79902
Phone (915) 542-0755

10840 Texas Health Trl
Ste 210
Fort Worth, TX 76244
Phone (817) 540-1157

1250 8th Ave
Ste 225
Fort Worth, TX 76104
Phone (817) 922-9237

1280 8th Ave
Ste 245
Fort Worth, TX 76104
Phone (817) 926-4118

2330 Marie Curie Dr
Garland, TX 75042

1631 Lancaster Dr
Ste 320
Grapevine, TX 76051
Phone (214) 915-8502

1651 W Northwest Hwy
Ste 100
Grapevine, TX 76051

1401 St Joseph Pkwy
Ste 1703
Houston, TX 77002

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

1819 Crawford St
Ste 1716
Houston, TX 77002

2000 Crawford St
Ste 740
Houston, TX 77002

2100 Travis St
Ste 1250
Houston, TX 77002
Phone (346) 348-1980

7400 Fannin St
Ste 770
Houston, TX 77054
Phone (713) 463-5668

7600 Fannin St
Ste 1130
Houston, TX 77054

7777 Southwest Fwy
Ste 310
Houston, TX 77074
Phone (713) 772-3300

909 Frostwood Dr
#3506
Houston, TX 77024

Practitioners & affiliated clinicians

Practitioners 762

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.

View all 762

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1649377359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CONCORD TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232843",
            "telephone_number": "954-384-0175",
            "fax_number": "954-851-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 WOODLAND PARK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822687",
            "telephone_number": "281-293-7774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "712 N Washington Ave Ste 510",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752462600",
            "country_code": "US",
            "telephone_number": "214-827-7081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIATRIX MEDICAL GROUP OF TEXAS BILLING, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRIX MEDICAL SERVICES INC",
        "enumeration_date": "2006-09-17",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "DWYER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "954-384-0175",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137308617",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137308631",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169372301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137308619",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141686903",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141691904",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141691908",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "8206898",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95656049",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137308612",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137308621",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141606701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141611701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144542102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184048701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184818601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00059H",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00059H",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0055BR",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0084A",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137308637",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141691901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141691909",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144542103",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144542104",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177999301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187119601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z000U99U2",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00186R",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0055BR",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137308633",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141691903",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137308620",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141691910",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144542105",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178099101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "289221213A",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0084AZ",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00R66Z",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00U99U",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141691906",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0067GW",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0084AZ",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0098JQ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137308614",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137308623",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141691911",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141691914",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529907870",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529908050",
            "state": "TX"
        }
    ],
    "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 Aug 4, 2025; 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.