Organization Active NPI

Baycenter Family Physician, P.a.

  • Preferred Provider Organization
  • Pasadena, TX
National Provider Identifier
1679759245
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
K3839 Issued in TX
Legal business name
BAYCENTER FAMILY PHYSICIAN, P.A.
Practice address
4343 Fairmont Pkwy
Pasadena, TX 77504-3305
Phone
(281) 991-0444
NPI assigned
Jan 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Maricela Romero
Title
Manager
Phone
(281) 991-0444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X K3839 TX Primary

Addresses

Primary practice location

4343 Fairmont Pkwy
Pasadena, TX 77504-3305

Mailing address

4343 Fairmont Pkwy
Pasadena, TX 77504-3305
Phone (281) 991-0444

Other identifiers 3

IdentifierTypeStateIssuer
080180411OtherTXRR MEDICARE
8B3010OtherTXBC/BS
145830901MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101101000686 TX Part B Supplier - Clinic/Group Practice 3870787187 Receives reassigned benefits from 1 practitioner
Practice locations: Pasadena, TX

National Provider Directory

National Provider Directory

Locations

4343 Fairmont Pkwy
Pasadena, TX 77504
Phone (281) 991-0444

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": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1679759245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 FAIRMONT PKWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775043305",
            "telephone_number": "281-991-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 FAIRMONT PKWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775043305",
            "telephone_number": "281-991-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYCENTER FAMILY PHYSICIAN, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "MARICELA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-991-0444"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "K3839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080180411",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "8B3010",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145830901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.