DR. ANDREA MICHELLE SILVA
NPI 1265964902
Pediatrics in Katy, TX
NPI Status: Active since March 31, 2017
Contact Information
19333 CLAY RD
KATY, TX
ZIP 77449
Phone: (713) 462-6565
Fax: (281) 717-4456
- Individual
- Female
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About ANDREA SILVA
This page provides the complete NPI Profile along with additional information for Andrea Silva, a pediatrician established in Katy, Texas with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1265964902 assigned on March 2017. The practitioner's primary taxonomy code is 208000000X with license number S5197 (TX). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1265964902
- Provider Name
- DR. ANDREA MICHELLE SILVA
- Other Name
- ANDREA MICHELLE JIMENEZ
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 19333 CLAY RD KATY, TX 77449
- Location Phone
- (713) 462-6565
- Location Fax
- (281) 717-4456
- Mailing Address
- 800 W SAM HOUSTON PKWY S STE 200 HOUSTON, TX 77042
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-31-2017
- Last Update Date
- 05-18-2022
- Code Navigator
A pediatrician like Andrea Silva is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 999 N 92nd St
Milwaukee, WI 53226
(414) 266-6803
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- S5197
- License State
- TX
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Community Premier Bronze 003 (No deductible for PCP, Free Preventive Care, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Bronze 018 (No deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Gold 005 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Gold 021 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Silver 012 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Silver 020 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Select Bronze 016 (No deductible for PCP & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Select Gold 022 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Select Silver 019 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic - EPO
- Gold Classic Guided Care - HMO
- Gold Classic Standard - EPO
- Gold Classic Standard Guided Care - HMO
- Gold Elite - EPO
- Gold Simple Guided Care - HMO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Classic Standard Guided Care - HMO
- Silver Simple Chronic Care CKM Guided Care - HMO
- Silver Simple Diabetes Guided Care - HMO
- Silver Simple Guided Care - HMO
- Silver Simple PCP Saver - EPO
- Silver Simple PCP Saver Guided Care - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Andrea Silva is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 77449 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.4
- Minimum New Patient Price $58.24
- Maximum New Patient Price $176.98
- Average New Patient Copayment $22.6
- Minimum New Patient Copayment $14.56
- Maximum New Patient Copayment $44.24
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $102.71
- Minimum Established Patient Price $18.6
- Maximum Established Patient Price $143.93
- Average Established Patient Copayment $25.67
- Minimum Established Patient Copayment $4.65
- Maximum Established Patient Copayment $35.98
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 6 | 5 | 9 | 6 | 4 | 9 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 18 | 6 | 8 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 1 + 8 + 6 + 8 + 9 + 0 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1265964902 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
WILLIAMS, WILLIAMS & HANKS DBA INCENTIVES
Substance Abuse Rehabilitation Facility
19333 CLAY RD
KATY, TX
ZIP 77449
LUIS F MARTINEZ M.A., LPC
Counselor
(Professional)
19333 CLAY RD
KATY, TX
ZIP 77449
MRS. DEMORI DRIVER PA-C
Physician Assistant
(Medical)
19333 CLAY RD
KATY, TX
ZIP 77449
RACHEL TRAN RDH
Dental Hygienist
19333 CLAY RD
KATY, TX
ZIP 77449
DR. FATIMA F ALY M.D.
Pediatrics
19333 CLAY RD
KATY, TX
ZIP 77449
CANDY ESPINOZA APRN, FNP-C
Nurse Practitioner
(Family)
19333 CLAY RD
KATY, TX
ZIP 77449
DAVID WAYNE KRUSLESKI M.D.
Family Medicine
19333 CLAY RD
KATY, TX
ZIP 77449
DR. JACQUELINE E BROWN M.D.
Obstetrics & Gynecology
19333 CLAY RD
KATY, TX
ZIP 77449
AMERICA CARRILLO
Nurse Practitioner
(Family)
19333 CLAY RD
KATY, TX
ZIP 77449
RUTH G TROCHEZ-GALLEGO
Nurse Practitioner
(Family)
19333 CLAY RD
KATY, TX
ZIP 77449
SPRING BRANCH COMMUNITY HEALTH CENTER
Clinic/Center
(Federally Qualified Health Center (FQHC))
19333 CLAY RD
KATY, TX
ZIP 77449
MAZIN ABDULLAH AL SALEH MD
Obstetrics & Gynecology
(Obstetrics)
19333 CLAY RD
KATY, TX
ZIP 77449
SPRING BRANCH COMMUNITY HEALTH CENTER
Clinic/Center
(Federally Qualified Health Center (FQHC))
19333 CLAY RD
KATY, TX
ZIP 77449
SPRING BRANCH COMMUNITY HEALTH CENTER
Pharmacy
(Community/Retail Pharmacy)
19333 CLAY RD
KATY, TX
ZIP 77449
SPRING BRANCH COMMUNITY HEALTH CENTER
Dentist
(General Practice)
19333 CLAY RD
KATY, TX
ZIP 77449
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265964902, enumerated as an "individual" on March 31, 2017.
The provider is located at 19333 CLAY RD KATY, TX 77449 and the phone number is (713) 462-6565.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Community Health Choice and Oscar Insurance. Please consult your insurance carrier or call the provider to verify.
