Individual provider Active NPI

Keren Jimenez, PA-C

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1902779507
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA19609 Issued in TX
Practice address
444 FM 1959 Rd Ste a
Houston, TX 77034-5416
Phone
(281) 481-9400
NPI assigned
Sep 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA19609 TX Primary

Addresses

Primary practice location

444 FM 1959 Rd Ste a
Houston, TX 77034-5416

Mailing address

444 FM 1959 Rd Ste a
Houston, TX 77034-5416

Other practice location 1

10905 Memorial Hermann Dr Ste 120
Pearland, TX 77584-3490
Phone (281) 481-9400

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251107001881 TX Practitioner - Physician Assistant 7810487899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10905 Memorial Hermann Dr
Suite 211
Pearland, TX 77584-3490
Phone (281) 484-6264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA19609TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants PLLC CurrentSince Oct 6, 2025 Accepting new patients
Texas Digestive Disease Consultants, PLLC CurrentSince Oct 6, 2025 Accepting new patients
Texas Digestive Disease Consultants, PLLC Current Accepting new patients

Locations

18220 Tomball Pkwy
Ste 290
Houston, TX 77070
Phone (281) 807-6800

444 FM 1959 Rd
Ste A
Houston, TX 77034
Phone (281) 481-9400

10905 Memorial Hermann Dr
Ste 211
Pearland, TX 77584
Phone (281) 665-4444

10905 Memorial Hermann Dr
Ste 120
Pearland, TX 77584
Phone (281) 412-7111

Organizations & group practices 3

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": "1759104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1902779507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 FM 1959 RD STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770345416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 FM 1959 RD STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770345416",
            "telephone_number": "281-481-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10905 Memorial Hermann Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775843490",
            "country_code": "US",
            "telephone_number": "281-481-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "KEREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA19609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.