Individual provider Active NPI

Reene Naidoo Douglas, M.D.

  • Pediatrics Physician
  • Humble, TX
National Provider Identifier
1861652281
Registry record updated Aug 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
Q3064 Issued in TX
Practice address
19333 Highway 59 N
Suite 145
Humble, TX 77338-4204
Phone
(281) 540-5437
NPI assigned
Jun 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2016

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 Q3064 TX Primary

Addresses

Primary practice location

19333 Highway 59 N
Suite 145
Humble, TX 77338-4204

Mailing address

19333 Highway 59 N
Suite 145
Humble, TX 77338-4204
Phone (281) 540-5437

Other names 1

  • Reene Naidoo Former name

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
Q3064TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munoz Pediatrics (Dba) Weekare Pediatrics Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rdouglas148029@memorialhermann.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1861652281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19333 HIGHWAY 59 N",
            "address_2": "SUITE 145",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384204",
            "telephone_number": "281-540-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19333 HIGHWAY 59 N",
            "address_2": "SUITE 145",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384204",
            "telephone_number": "281-540-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "REENE",
        "middle_name": "NAIDOO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q3064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REENE",
            "last_name": "NAIDOO",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; 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.