Active NPI
Marina E. Kaldas Gadalla, M.D.
- Pediatrics Physician
- Katy, TX
National Provider Identifier
1730422585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- Q8917
- Practice address
- 20903 Kingsland Blvd
Katy, TX 77450-5548 - Phone
- (281) 578-5788
- NPI assigned
- Mar 30, 2013
- Last updated
- Dec 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Q8917 | TX | Primary |
Addresses
Primary practice location
20903 Kingsland Blvd
Katy, TX 77450-5548
Mailing address
20903 Kingsland Blvd
Katy, TX 77450-5548
Phone (210) 578-5788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q8917 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpha Pediatrics, PA | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- San Antonio, TX
- NPI 1649464728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575590400000",
"number": "1730422585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20903 KINGSLAND BLVD",
"city": "KATY",
"state": "TX",
"postal_code": "774505548",
"telephone_number": "210-578-5788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20903 KINGSLAND BLVD",
"city": "KATY",
"state": "TX",
"postal_code": "774505548",
"telephone_number": "281-578-5788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GADALLA",
"first_name": "MARINA",
"middle_name": "E. KALDAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-30",
"last_updated": "2019-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "Q8917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.