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

Q: What is Pamela Petersen's NPI number?

The NPI number for Pamela Petersen is 1285999185. It was assigned to this individual provider in the NPPES registry on July 7, 2012.

Q: What is Pamela Petersen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Pamela Petersen was last updated on November 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

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: September 06, 2026.

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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

Phone(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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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.

DR. ALYSON ROSE BECK PT, DPT

Physical Therapist