Individual provider Active NPI

Adele Therese Reeder, M.D.

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1679872105
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
550276 Issued in TX
Practice address
1 Baylor PLZ
Mail Stop 1-1000
Houston, TX 77030-3411
Phone
(832) 824-1170
NPI assigned
Mar 23, 2011
Last updated
Apr 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 550276 TX Primary

Addresses

Primary practice location

1 Baylor PLZ
Mail Stop 1-1000
Houston, TX 77030-3411

Mailing address

2001 Westheimer Rd
Apt 420
Houston, TX 77098-1560
Phone (832) 683-8637

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address areeder161954@CookChildrens.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140404001372 TX Practitioner - Pediatric Medicine 4880826874 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
550276TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Jan 12, 2014 Accepting new patients
Baylor College of Medicine CurrentSince Jan 12, 2014 Accepting new patients
Our Place Adolescent and Young Adult Health, PLLC Pediatrics Past Accepting new patients
Luis Alesandro Larrazabal Martinez MD PC Pediatrics Past Accepting new patients

Locations

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

2450 Holcombe Blvd
Ste 34L
Houston, TX 77021
Phone (832) 828-1000

Interoperability endpoints

  • Direct secure messaging: adele.reeder.1@30814.direct.athenahealth.com
  • Direct secure messaging: areeder161954@cookchildrens.direct-ci.com

Organizations & group practices 4

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": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1679872105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 WESTHEIMER RD",
            "address_2": "APT 420",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981560",
            "telephone_number": "832-683-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BAYLOR PLZ",
            "address_2": "MAIL STOP 1-1000",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303411",
            "telephone_number": "832-824-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEDER",
        "first_name": "ADELE",
        "middle_name": "THERESE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "550276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "areeder161954@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "1 Baylor Plz",
            "address_2": "MAIL STOP 1-1000",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770303411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.