Individual provider Active NPI

Paul Herman, MD

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1720027584
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
H3072 Issued in TX
Practice address
13114 FM 1960 Rd W
114
Houston, TX 77065-4290
Phone
(281) 469-2838
Fax
(281) 469-9314
NPI assigned
Jun 6, 2006
Last updated
Jan 3, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

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 H3072 TX Primary

Addresses

Primary practice location

13114 FM 1960 Rd W
114
Houston, TX 77065-4290

Mailing address

13114 FM 1960 Rd W
114
Houston, TX 77065-4290
Phone (281) 469-2838

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
I20230306002148 TX Practitioner - Pediatric Medicine 0648401570 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H3072TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
People's Community Clinic, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Peoples Community Clinic Inc CurrentSince Feb 1, 2023 Accepting new patients

Locations

1101 Camino La Costa
Austin, TX 78752
Phone (512) 478-4939

10335 US Highway 290 E
Bldg 35
Manor, TX 78653
Phone (512) 478-4939

Interoperability endpoints

  • Direct secure messaging: pherman668507@direct.ochin.org

Organizations & group practices 2

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294012800000",
    "number": "1720027584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13114 FM 1960 RD W",
            "address_2": "114",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654290",
            "telephone_number": "281-469-2838",
            "fax_number": "281-469-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13114 FM 1960 RD W",
            "address_2": "114",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654290",
            "telephone_number": "281-469-2838",
            "fax_number": "281-469-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "H3072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.