Individual provider Active NPI

Kelli Diane Barbour

  • Maternal & Fetal Medicine Physician
  • Houston, TX
National Provider Identifier
1871811919
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
R4938 Issued in TX
Practice address
1504 Taub Loop
Houston, TX 77030-1608
Phone
(713) 526-4243
NPI assigned
May 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X R4938 TX
Obstetrics & Gynecology Physician 207V00000X 11015674A IN
Obstetrics & Gynecology Physician 207V00000X 01070586A IN
Maternal & Fetal Medicine Physician 207VM0101X 8843120-1205 UT
Maternal & Fetal Medicine Physician 207VM0101X R4938 TX Primary

Addresses

Primary practice location

1504 Taub Loop
Houston, TX 77030-1608

Mailing address

6651 Main St Ste 1020
Houston, TX 77030-2351
Phone (832) 826-7313

Other practice location 1

6701 Fannin St
Houston, TX 77030-2608
Phone (832) 824-1000

Other practice location 2

50 N Medical Dr
Salt Lake City, UT 84132-0100
Phone (801) 581-8425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150114001789 UT Practitioner - Obstetrics/Gynecology 7911146964 Reassigns benefits to 2 organizations
I20170922003072 TX Practitioner - Obstetrics/Gynecology 7911146964 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, San Francisco School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Childrens Physician GroupGroup PAC ID 4385722081, 661 clinicians

Practice addresses (Care Compare)

6701 Fannin St
Houston, TX 77030-2608
Phone (832) 824-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01070586AINMDObstetrics & Gynecology Physician
11015674AINMDObstetrics & Gynecology Physician
8843120-1205UTMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Jan 24, 2018 Accepting new patients
University of Utah Adult Services CurrentSince Feb 1, 2015 Accepting new patients
University of Utah Specialty Services CurrentSince Feb 1, 2015 Accepting new patients
Texas Children'S Physician Group CurrentSince Sep 1, 2017 Accepting new patients
University of Utah Specialty Services Current Accepting new patients
Baylor College of Medicine CurrentSince Jan 24, 2018 Accepting new patients
University of Utah Adult Services CurrentSince Feb 1, 2015 Accepting new patients
University of Utah Adult Services Current Accepting new patients
University of Utah Specialty Services Maternal & Fetal Medicine CurrentSince Feb 1, 2015 Accepting new patients
Texas Children'S Hospital Past Accepting new patients

Locations

6651 Main St
Ste 1020
Houston, TX 77030
Phone (832) 826-7371

700 N Sam Houston Pkwy W
Houston, TX 77067
Phone (832) 828-1005

6651 Main St
Ste F420
Houston, TX 77030
Phone (832) 826-4636

7200 Cambridge St
Fl 10
Houston, TX 77030
Phone 7137981750 ext. 2

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

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

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

2450 Holcombe Blvd
Ste NB34L
Houston, TX 77021
Phone (713) 796-0003

17200 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-2008

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

50 N Medical Dr
#U
Salt Lake Cty, UT 84132
Phone (801) 581-4314

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Interoperability endpoints

  • Direct secure messaging: kbarbour263981@prddirect.texaschildrens.org

Organizations & group practices 11

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": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1871811919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6651 MAIN ST STE 1020",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302351",
            "telephone_number": "832-826-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 TAUB LOOP",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301608",
            "telephone_number": "713-526-4243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6701 Fannin St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302608",
            "country_code": "US",
            "telephone_number": "832-824-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 N Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841320100",
            "country_code": "US",
            "telephone_number": "801-581-8425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARBOUR",
        "first_name": "KELLI",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-13",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "R4938",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "11015674A",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01070586A",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "UT",
            "license": "8843120-1205",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "R4938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.