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DR. GUENET H DEGAFFE M.D.
NPI 1427379569
Pediatrics in Houston, TX

Active since June 11, 2010PECOS Enrolled
6431 FANNIN ST # 3.244, HOUSTON, TX 77030(713) 500-5714(713) 500-5688 Get Directions Write a Review

NPPES record last updated: June 11, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Guenet H Degaffe M.d. NPPES

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

DR. GUENET H DEGAFFE M.D. (NPI 1427379569) is an individual pediatrics provider in Houston, Texas, licensed in Texas (N3003) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427379569
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. GUENET H DEGAFFECredential: M.D.
Location Address6431 FANNIN ST # 3.244Houston, TX 77030-1501
Mailing Address6431 Fannin St # 3.244Houston, TX 77030-1501 · (713) 500-5714 · Fax (713) 500-5688
Phone(713) 500-5714
Fax(713) 500-5688
Sole ProprietorYes
Enumeration DateJune 11, 2010
✔ NPI 1427379569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · N3003
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.
6431 FANNIN ST # 3.244, Houston, TX 77030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Guenet H Degaffe M.d. 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 Guenet Degaffe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ut Physicians
0.1 mi
Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group
NPI 1033157821 (832) 325-7325

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.

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 Guenet Degaffe's NPI number?

The NPI number for Guenet Degaffe is 1427379569. It was assigned to this individual provider in the NPPES registry on June 11, 2010.

Where is Guenet Degaffe located?

Guenet Degaffe practices at 6431 Fannin St # 3.244, Houston, TX 77030. The listed phone number is (713) 500-5714.

What is Guenet Degaffe's specialty?

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

Is Guenet Degaffe enrolled in Medicare?

Yes. Guenet Degaffe is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Guenet Degaffe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Guenet Degaffe reassigns Medicare benefits to Ut Physicians (Houston, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Guenet Degaffe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Guenet Degaffe accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Guenet Degaffe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Guenet Degaffe was last updated on June 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.