DR. MARITA AILEEN NOGUERA OBENZA (M.D.) – Pediatrics Physician, NPI 1962494153
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. MARITA AILEEN NOGUERA OBENZA (M.D.)
2150 W 18th St Ste 300
Houston, TX 770081289
Phone: (713) 426-0027
Type: Location
1344 W Clinton Ave
Fresno, CA 937053805
Phone: (877) 960-3426
Type: Location
PO BOX 840359
HOUSTON, TX 772840359
Phone: (832) 548-5000
Type: Mailing
Houston Court, Box Hill South, City of Whitehorse, Victoria, 3128, Australia
HOUSTON, TX 772666308
Phone: (832) 548-5000
Type: Mailing
3455, Stagg Drive, Gateway Shopping Center, Beaumont, Jefferson County, Texas, 77701, United States
BEAUMONT, TX 777014521
Phone: (832) 548-5000
Type: Location
1344 W CLINTON AVE
FRESNO, CA 937053805
Phone: (877) 960-3426
Type: Location
10956 DONNER PASS RD FL 23
TRUCKEE, CA 961614861
Phone: (530) 587-3523
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: 2017-06-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170609000912 | I | Pediatric Medicine | TX | TBD |
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.
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 77008)
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