Individual provider Active NPI

Genesis Licona, MD

  • Neonatal-Perinatal Medicine Physician
  • Houston, TX
National Provider Identifier
1871949248
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
T7286 Issued in TX
Practice address
1 Baylor PLZ
Houston, TX 77030-3411
Phone
(713) 873-6017
NPI assigned
May 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 59388 TN
Neonatal-Perinatal Medicine Physician 2080N0001X T7286 TX Primary
Pediatrics Physician 208000000X T7286 TX

Addresses

Primary practice location

1 Baylor PLZ
Houston, TX 77030-3411

Mailing address

6621 Fannin St
Houston, TX 77030-2358
Phone (713) 873-6017

Other practice location 1

1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 832-8890

Other practice location 2

2200 Childrens Way
8161 Dot
Nashville, TN 37232-9760
Phone (615) 936-2555

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
I20251118004619 TX Practitioner - Pediatric Medicine 3072004944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Baylor PLZ
2Gr900
Houston, TX 77030-3498

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59388TNMDNeonatal-Perinatal Medicine Physician
T7286TXMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Nov 1, 2025 Accepting new patients
Baylor College of Medicine CurrentSince Nov 1, 2025 Accepting new patients
Texas Children's Physician Group Pediatrics Past Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

1504 Taub Loop
#285
Houston, TX 77030
Phone (713) 873-2626

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

6621 Fannin St
Ste W6104
Houston, TX 77030
Phone (832) 823-1380

6621 Fannin St
Houston, TX 77030
Phone (832) 824-1866

Interoperability endpoints

  • Direct secure messaging: glicona417689@prddirect.texaschildrens.org

Organizations & group practices 4

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": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1871949248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302358",
            "telephone_number": "713-873-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BAYLOR PLZ",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303411",
            "telephone_number": "713-873-6017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1504 Taub Loop",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301608",
            "country_code": "US",
            "telephone_number": "713-832-8890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Childrens Way",
            "address_2": "8161 DOT",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372329760",
            "country_code": "US",
            "telephone_number": "615-936-2555",
            "fax_number": "615-936-3601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LICONA",
        "first_name": "GENESIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TN",
            "license": "59388",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TX",
            "license": "T7286",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "T7286",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.