Otto Hans Kieffer, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

K1505 Issued in TX

Practice address

3325 Plainview St
Suite C-9
Pasadena, TX 77504-1989

Phone

(713) 830-2996

Fax

(713) 830-2998

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HAIJCA/Endpoint/HAIJCA

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.

• Bayshore Area Pediatric Clinic, PA

  • Pediatrics Physician
  • Pasadena, TX
  • NPI 1487072047
  NPD (past) Authorized official

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1891700209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 PLAINVIEW ST",
            "address_2": "SUITE C-9",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041989",
            "telephone_number": "713-830-2996",
            "fax_number": "713-830-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 PLAINVIEW ST",
            "address_2": "SUITE C-9",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041989",
            "telephone_number": "713-830-2996",
            "fax_number": "713-830-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEFFER",
        "first_name": "OTTO",
        "middle_name": "HANS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K1505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092239503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muzzamel Khan, APRN-CNP, FNP-C
• Nila Khan, PA
• Emily Rose Khanh
• Bryan Singh Kharbanda, MD
• Kamayani Khare, M.D.
• Charles Price Killingsworth, M.D.
• Orvil V Kimball Jr., OD
• Kimber Lee Holmes, D.D.S., P.a.
• Kathleen J Kimberlin, OTR
• Rebecca Bullion Kimbrell, PT, DPT

• Pediatrics Physician in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.