Individual provider Active NPI

Allen L. Milewicz, MD

  • Pediatric Surgery Physician
  • Houston, TX
National Provider Identifier
1871556480
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
H1900 Issued in TX
Practice address
6624 Fannin St
Ste 1590
Houston, TX 77030-2312
Phone
(713) 796-2327
Fax
(713) 796-0397
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X H1900 TX Primary

Addresses

Primary practice location

6624 Fannin St
Ste 1590
Houston, TX 77030-2312

Mailing address

2 Greenway Plaza
Suite 910
Houston, TX 77046
Phone (713) 798-1750

Other identifiers 2

IdentifierTypeStateIssuer
112545202MedicaidTX
110325104MedicaidTX

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
I20061024000341 TX Practitioner - General SurgeryPractitioner - Pediatric Medicine 3779580378 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Jun 29, 2011 Accepting new patients
Texas Children'S Physician Group CurrentSince Sep 1, 2008 Accepting new patients
Baylor College of Medicine CurrentSince Jun 29, 2011 Accepting new patients
Baylor College of Medicine Past Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

1102 Bates Ave
Houston, TX 77030
Phone (832) 822-4556

6620 Main St
Houston, TX 77030
Phone (713) 520-8432

2 Greenway Plz
Ste 910
Houston, TX 77046

1 Baylor Plz
#404D
Houston, TX 77030
Phone (713) 798-4579

6624 Fannin St
Ste 1590
Houston, TX 77030
Phone (713) 796-1600

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

18200 Katy Fwy
Houston, TX 77094
Phone (832) 227-1000

6701 Fannin St
Ste 1420
Houston, TX 77030
Phone (832) 822-4240

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

101 W Expressway 83
McAllen, TX 78503
Phone (956) 661-9840

15400 Southwest Fwy
Ste 200
Sugar Land, TX 77478
Phone (281) 494-7010

6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000

Interoperability endpoints

  • Direct secure messaging: amilewicz5626@prddirect.texaschildrens.org

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1871556480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 GREENWAY PLAZA",
            "address_2": "SUITE 910",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77046",
            "telephone_number": "713-798-1750",
            "fax_number": "713-798-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6624 FANNIN ST",
            "address_2": "STE 1590",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302312",
            "telephone_number": "713-796-2327",
            "fax_number": "713-796-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILEWICZ",
        "first_name": "ALLEN",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "TX",
            "license": "H1900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112545202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110325104",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.