VICTORIA MITRE MD
NPI 1366947889
Pediatrics in Houston, TX

Q: What is Victoria Mitre's NPI number?

The NPI number for Victoria Mitre is 1366947889. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Q: What is Victoria Mitre's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Victoria Mitre was last updated on June 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 March 27, 2018PECOS Enrolled

6621 FANNIN ST, HOUSTON, TX 77030(832) 824-1000 Get Directions Write a Review

NPPES record last updated: June 27, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 27, 2021, Dec 28, 2020, Mar 27, 2018 (3 updates tracked since 2018).

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About Victoria Mitre Md NPPES

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

VICTORIA MITRE MD (NPI 1366947889) is an individual pediatrics provider in Houston, Texas, licensed in Texas (T1154) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366947889

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameVICTORIA MITRECredential: MD

Location Address6621 FANNIN STHouston, TX 77030-2399

Mailing Address6621 Fannin StHouston, TX 77030-2399

Phone(832) 824-1000

Sole ProprietorNo

Enumeration DateMarch 27, 2018

Last NPPES UpdateJune 27, 20213 updates tracked since enumeration

NPPES CertifiedMay 10, 2021

✔ NPI 1366947889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TX · T1154

Definition

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.

6621 FANNIN ST, Houston, TX 77030

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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victoria Mitre Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Victoria Mitre reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baylor College Of Medicine

0.2 mi

Internal Medicine

6620 MAIN ST
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
2,296 clinicians in this Medicare group

NPI 1104867175 (713) 798-2500

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.

New Patient

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. TAKETO BABA M.D.

Pediatrics (Pediatric Emergency Medicine)