Individual provider Active NPI

Yonatan Adler, MD

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1700405891
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
U0064 Issued in TX
Practice address
9809 Rowlett Rd # A1
Houston, TX 77075-3438
Phone
(713) 644-1119
Fax
(713) 644-0900
NPI assigned
Apr 9, 2020
Last updated
Aug 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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 U0064 TX Primary

Addresses

Primary practice location

9809 Rowlett Rd # A1
Houston, TX 77075-3438

Mailing address

9809 Rowlett Rd
Houston, TX 77075-3438
Phone (713) 644-1119

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
I20241025002590 TX Practitioner - Pediatric Medicine 0648703827 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Community Health Services, Inc CurrentSince Oct 11, 2024 Accepting new patients
Legacy Community Health Services, Inc Pediatrics CurrentSince Oct 11, 2024 Accepting new patients
Hanissian Pediatrics, PLLC Pediatrics PastSince Sep 5, 2023 Accepting new patients

Locations

12667 Bissonnet St
Houston, TX 77099
Phone (281) 498-6100

5420 Dashwood Dr
Ste 100
Houston, TX 77081
Phone (713) 486-2900

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

6500 Rookin St
#200
Houston, TX 77074
Phone (713) 351-7350

6500 Rookin St
Ste 200
Houston, TX 77074
Phone (713) 351-7350

Organizations & group practices 3

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": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1700405891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9809 ROWLETT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770753438",
            "telephone_number": "713-644-1119",
            "fax_number": "713-644-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9809 ROWLETT RD # A1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770753438",
            "telephone_number": "713-644-1119",
            "fax_number": "713-644-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADLER",
        "first_name": "YONATAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-09",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "U0064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.