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FABIOLA MEDINA
NPI 1417798158
Pediatrics in Galveston, TX

Active since June 05, 2024PECOS Enrolled
UTMB GME C/O E ESPINO 301 UNIVERSITY BLVD 5.138 RS, GALVESTON, TX 77555(713) 397-3436 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fabiola Medina NPPES

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

FABIOLA MEDINA (NPI 1417798158) is an individual pediatrics provider in Galveston, Texas, licensed in Texas (BP10089980) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417798158
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameFABIOLA MEDINA
Location AddressUTMB GME C/O E ESPINO 301 UNIVERSITY BLVD 5.138 RSGalveston, TX 77555-0001
Mailing Address6502 Mcmahan DrLeague City, TX 77573 · (713) 397-3436
Phone(713) 397-3436
Sole ProprietorNo
Enumeration DateJune 5, 2024
NPPES CertifiedMay 31, 2024
✔ NPI 1417798158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · BP10089980
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.
UTMB GME C/O E ESPINO 301 UNIVERSITY BLVD 5.138 RS, Galveston, TX 77555
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fabiola Medina 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77555 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
$88.24 typical visit price
range $57.19 – $173.07
Typical copayment $22.06 (range $14.29 – $43.26)
Most-billed visit code 99203
Established Patient
$100.90 typical visit price
range $18.45 – $141.36
Typical copayment $25.22 (range $4.61 – $35.34)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VENKATA JONNAKUTI MD, PHD
Internal Medicine
UTMB GME C/O E ESPINO 301 UNIVERSITY BLVD 5.138 RS
GALVESTON, TX 77555
Galveston County (409) 772-0764

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 Fabiola Medina's NPI number?

The NPI number for Fabiola Medina is 1417798158. It was assigned to this individual provider in the NPPES registry on June 5, 2024.

Where is Fabiola Medina located?

Fabiola Medina practices at Utmb Gme C/O E Espino 301 University Blvd 5.138 Rs, Galveston, TX 77555. The listed phone number is (713) 397-3436.

What is Fabiola Medina's specialty?

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

Is Fabiola Medina enrolled in Medicare?

Yes. Fabiola Medina is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fabiola Medina was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.