Individual provider Active NPI

Patrice Latimer, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1851471254
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K3603 Issued in TX
Practice address
4423 Griggs Rd
Houston, TX 77021-2815
Phone
(713) 429-0655
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K3603 TX Primary

Addresses

Primary practice location

4423 Griggs Rd
Houston, TX 77021-2815

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (713) 429-0655

Other practice location 1

1100 W 34th St
Houston, TX 77018-6206
Phone (713) 861-3939

Other identifiers 1

IdentifierTypeStateIssuer
111941402MedicaidTX

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
I20110120000871 TX Practitioner - Family Practice 2163601337 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Physicians Group of Texas PLLC CurrentSince May 15, 2021 Accepting new patients
Baylor College of Medicine Family Medicine CurrentSince Aug 16, 1999 Accepting new patients
Baylor College of Medicine CurrentSince Aug 16, 1999 Accepting new patients
Memorial Hermann Medical Group Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
Dedicated Physicians Group of Texas, PLLC CurrentSince May 25, 2021 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

8121 Broadway St
Ste 150
Houston, TX 77061
Phone (832) 709-2770

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

1100 W 34th St
Houston, TX 77018
Phone (713) 861-3939

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

4423 Griggs Rd
Houston, TX 77021
Phone (713) 429-0655

909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523

8471 Gulf Fwy
Houston, TX 77017
Phone (314) 390-5433

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1851471254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "713-429-0655",
            "fax_number": "713-429-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 GRIGGS RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770212815",
            "telephone_number": "713-429-0655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 W 34th St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770186206",
            "country_code": "US",
            "telephone_number": "713-861-3939",
            "fax_number": "713-867-7819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LATIMER",
        "first_name": "PATRICE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K3603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111941402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.