KATHRYN NEUBAUER (M.D.) – Pediatrics Physician, NPI 1619243060

KATHRYN NEUBAUER (M.D.) is a healthcare provider. based in Houston, Texas. specializing in Pediatrics Physician. They hold the professional credentials M.D.. They hold a License No. D79092 (MD). The NPI Number for KATHRYN NEUBAUER (M.D.) is 1619243060

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN NEUBAUER (M.D.)
NPI
1619243060
Phone
(713) 500-5455
Address
6431 FANNIN STREET
Enumeration Date
30 March 2012
Last Update Date
25 July 2022

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2012 (14 years ago)
PAC ID
1153570064
Group Practice PAC ID
8921903147
Professional Enrollment ID
I20190725003753
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness75
Years active:14State licenses:3Digital endpointsOther names

Provider Addresses for KATHRYN NEUBAUER (M.D.)

  • 6431 FANNIN STREET

    MSB 3.242

    HOUSTON, TX 77030

    Phone: (713) 500-5455

    Type: Mailing

  • 6411 FANNIN STREET

    CHILDREN'S MEMORIAL HERMAN HOSPITAL

    HOUSTON, TX 770300010

    Phone: (713) 500-5455

    Type: Location

  • 43 NEW SCOTLAND AVE # MC102

    ALBANY, NY 122083412

    Phone: (845) 235-7861

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-09-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220929002836IPediatric MedicineNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77030)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921903147View full group profile
NameSpecialtyState
Internal MedicineMD
O T O L A R Y N G O L O G YTX
Clinical PsychologistMD
Physician AssistantMD
Physician AssistantMD
O P H T H A L M O L O G YMD
Pulmonary Disease, Internal MedicineMD
A N E S T H E S I O L O G YMD
-MD
Emergency Medicine, Internal MedicineMD

Reviews

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Frequently asked questions

Is KATHRYN NEUBAUER (M.D.) listed with a National Provider Identifier?
Yes — KATHRYN NEUBAUER (M.D.) has NPI 1619243060 on file in the registry.
Is KATHRYN NEUBAUER (M.D.) still an active registrant?
KATHRYN NEUBAUER (M.D.) carries an active NPI according to the public dataset.
What kind of doctor is KATHRYN NEUBAUER (M.D.)?
KATHRYN NEUBAUER (M.D.) is associated with Pediatrics Physician in the directory — Clinical services aligned with this taxonomy classification.
Is KATHRYN NEUBAUER (M.D.) associated with Houston?
Public fields place KATHRYN NEUBAUER (M.D.) around Houston, Texas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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