DR. PAMELA CAROL PETERSEN M.D.
NPI 1285999185
Pediatrics - Pediatric Critical Care Medicine in Houston, TX

Active since July 07, 2012PECOS Enrolled
6651 MAIN ST, HOUSTON, TX 77030(832) 826-4431 Get Directions Write a Review

NPPES record last updated: November 19, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Pamela Carol Petersen M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAMELA CAROL PETERSEN M.D. (NPI 1285999185) is an individual pediatric critical care medicine provider in Houston, Texas, licensed in Texas (R7563) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Milwaukee, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1285999185
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameDR. PAMELA CAROL PETERSENCredential: M.D.
Location Address6651 MAIN STHouston, TX 77030
Mailing Address6651 Main StHouston, TX 77030-2351 · (832) 826-4431
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 7, 2012
Last NPPES UpdateNovember 19, 2018
NPI 1285999185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in TX · R7563
Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License 63560-20 (WI)
6651 MAIN ST, Houston, TX 77030

Secondary Practice Location 1

Location 19000 W Wisconsin Ave, CHW Clinics Bldg STE 550Milwaukee, WI 53226-4874 · Phone (414) 266-3392 · Fax (414) 266-4185

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Pamela Carol Petersen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860782570
PECOS Enrollment IDI20251031001889
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Obstetrics & Gynecology (Maternal & Fetal Medicine)
6651 MAIN ST, STE 420
HOUSTON, TX 77030
Pharmacist
6651 MAIN ST
HOUSTON, TX 77030
Advanced Practice Midwife
6651 MAIN ST, SUITE F.1500
HOUSTON, TX 77030
Genetic Counselor, MS
6651 MAIN ST, SUITEF420
HOUSTON, TX 77030
Dietitian, Registered
6651 MAIN ST, 420
HOUSTON, TX 77030
Genetic Counselor, MS
6651 MAIN ST, SUITE F450
HOUSTON, TX 77030
Obstetrics & Gynecology (Reproductive Endocrinology)
6651 MAIN ST, SUITE 1020
HOUSTON, TX 77030
Nurse Practitioner (Family)
6651 MAIN ST, SUITE 1020
HOUSTON, TX 77030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285999185, enumerated as an "individual" on July 07, 2012.

The provider is located at 6651 MAIN ST HOUSTON, TX 77030 and the phone number is (832) 826-4431.

Pediatrics with taxonomy code 2080P0203X and a focus in Pediatric Critical Care Medicine.

The provider might be accepting Accepts: Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.