Individual provider Active NPI

Rosemary Manguba-Gibbs, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Houston, TX
National Provider Identifier
1750358180
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
K6121 Issued in TX
Practice address
1315 St Joseph Pkwy Ste 1703
Houston, TX 77002-8234
Phone
(713) 751-0794
Fax
(713) 751-3121
NPI assigned
Mar 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X K6121 TX Primary

Addresses

Primary practice location

1315 St Joseph Pkwy Ste 1703
Houston, TX 77002-8234

Mailing address

1315 St Joseph Pkwy Ste 1703
Houston, TX 77002-8234
Phone (713) 751-0794

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
I20110927000423 TX Practitioner - Pediatric MedicinePractitioner - Other (Physician) 3971774704 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Texas Billing, Inc. Neonatal-Perinatal Medicine CurrentSince Jun 8, 2011 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Pediatrix Medical Group Past Accepting new patients
Memorial Hermann Health System Past Accepting new patients

Locations

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

3001 George Bush Hwy
Ste 250
Richardson, TX 75082
Phone (888) 822-2855

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1750358180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY STE 1703",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028234",
            "telephone_number": "713-751-0794",
            "fax_number": "713-751-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY STE 1703",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028234",
            "telephone_number": "713-751-0794",
            "fax_number": "713-751-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUBA-GIBBS",
        "first_name": "ROSEMARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TX",
            "license": "K6121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.