EBONY BEAUDOIN MD
NPI 1124053095
Pediatrics in Houston, TX
About Ebony Beaudoin Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EBONY BEAUDOIN MD (NPI 1124053095) is an individual pediatrics provider in Houston, Texas, licensed in Texas (M2203) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ebony Beaudoin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Ebony Beaudoin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 3,111 clinicians in this Medicare group
Gainesville, TX 76240
- Reassigned Medicare billing, Texas enrollment
- 1,193 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOUSTON, TX 77030
HOUSTON, TX 77030
HOUSTON, TX 77030
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ebony Beaudoin's NPI number?
The NPI number for Ebony Beaudoin is 1124053095. It was assigned to this individual provider in the NPPES registry on July 11, 2006.
Where is Ebony Beaudoin located?
Ebony Beaudoin practices at 6410 Fannin St Suite 500, Houston, TX 77030. The listed phone number is (832) 325-7111.
What is Ebony Beaudoin's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Ebony Beaudoin enrolled in Medicare?
Yes. Ebony Beaudoin is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ebony Beaudoin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ebony Beaudoin reassigns Medicare benefits to 2 organizations: Ut Physicians (Houston, TX) and Acs Primary Care Physicians Southwest, PA (Gainesville, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ebony Beaudoin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ebony Beaudoin accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Ebony Beaudoin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ebony Beaudoin was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ebony Beaudoin, MD · NPI 1124053095
Pediatrics physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since July 11, 2006.
## Identity
- **NPI:** 1124053095 (Entity type: Individual)
- **Enumerated:** July 11, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** M2203 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 6410 FANNIN ST, SUITE 500, Houston, TX 77030-3000
- **Phone:** (832) 325-7111 · **Fax:** (713) 512-2227
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ut Physicians (NPI 1033157821, Houston, TX); Acs Primary Care Physicians Southwest, PA (NPI 1538101019, Gainesville, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 4, 2026
- **Other identifiers:** Medicaid 190090401 (TX); Other 8U5760 (TX); Medicaid 176422501 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1124053095) · Data from the CMS NPPES public registry.