Active NPI
Tal Alon Gospin, MD
- Pediatric Cardiology Physician
- Katy, TX
National Provider Identifier
1992959142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- P2657
- Practice address
- 21733 Provincial Blvd Ste 130
Katy, TX 77450-6537 - Phone
- (281) 648-3000
- Fax
- (281) 648-3001
- NPI assigned
- Nov 13, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | P2657 | TX | Primary |
Addresses
Primary practice location
21733 Provincial Blvd Ste 130
Katy, TX 77450-6537
Mailing address
4130 Bellaire Blvd Ste 206
Houston, TX 77025-1056
Phone (281) 648-3000
Other practice location 1
711 W Bay Area Blvd
Suite 625
Webster, TX 77598-4043
Phone (281) 648-3000
Other practice location 2
4130 Bellaire Blvd Ste 206
Houston, TX 77025-1056
Phone (281) 648-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P2657 | TX | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Cardiology Care PA | Pediatric Cardiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Cardiology Physician
- Webster, TX
- NPI 1922491448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663286400000",
"number": "1992959142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4130 BELLAIRE BLVD STE 206",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770251056",
"telephone_number": "281-648-3000",
"fax_number": "281-648-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21733 PROVINCIAL BLVD STE 130",
"city": "KATY",
"state": "TX",
"postal_code": "774506537",
"telephone_number": "281-648-3000",
"fax_number": "281-648-3001"
}
],
"practiceLocations": [
{
"address_1": "711 W Bay Area Blvd",
"address_2": "Suite 625",
"address_purpose": "LOCATION",
"city": "Webster",
"state": "TX",
"postal_code": "775984043",
"country_code": "US",
"telephone_number": "281-648-3000",
"fax_number": "281-648-3001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4130 Bellaire Blvd Ste 206",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770251056",
"country_code": "US",
"telephone_number": "281-648-3000",
"fax_number": "281-648-3001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOSPIN",
"first_name": "TAL",
"middle_name": "ALON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-13",
"last_updated": "2022-09-16",
"certification_date": "2022-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "TX",
"license": "P2657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.