Individual provider Active NPI

Arnold Gerald Kagan, M.D.

  • Pediatrics Physician
  • Pearland, TX
National Provider Identifier
1740219260
Registry record updated Oct 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
F1693 Issued in TX
Practice address
10905 Memorial Hermann Dr
#109
Pearland, TX 77584-3490
Phone
(713) 436-9200
Fax
(713) 436-9707
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2013

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 F1693 TX Primary

Addresses

Primary practice location

10905 Memorial Hermann Dr
#109
Pearland, TX 77584-3490

Mailing address

10905 Memorial Hermann Dr
#109
Pearland, TX 77584-3490
Phone (713) 436-9200

Other identifiers 2

IdentifierTypeStateIssuer
111590901MedicaidTX
F1693OtherTXLICENSE

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

LicenseStateTypeSpecialty
F1693TXMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: arnold.kagan@arry.eclinicaldirectplus.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382918400000",
    "number": "1740219260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10905 MEMORIAL HERMANN DR",
            "address_2": "#109",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843490",
            "telephone_number": "713-436-9200",
            "fax_number": "713-436-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10905 MEMORIAL HERMANN DR",
            "address_2": "#109",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843490",
            "telephone_number": "713-436-9200",
            "fax_number": "713-436-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGAN",
        "first_name": "ARNOLD",
        "middle_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2013-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "F1693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111590901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "F1693",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.