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ALICE ROCK MD
NPI 1497723027
Pediatrics in Houston, TX

Active since March 09, 2006PECOS EnrolledAccepts Medicare Assignment
6431 FANNIN ST., SUITE MSB5.111, HOUSTON, TX 77030(713) 500-6325(713) 500-0706 Get Directions Write a Review

NPPES record last updated: April 29, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 29, 2019, Feb 26, 2019 (2 updates tracked since 2019).

About Alice Rock Md NPPES

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

ALICE ROCK MD (NPI 1497723027) is an individual pediatrics provider in Houston, Texas, licensed in Wisconsin (29505-20) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Southern Illinois University School Of Medicine (1987).

NPPES Registry Identity

NPI1497723027
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameALICE ROCKCredential: MD
Location Address6431 FANNIN ST., SUITE MSB5.111Houston, TX 77030-5389
Mailing Address6431 Fannin St, Suite Msb 5.111Houston, TX 77030-5389 · (713) 500-6325 · Fax (713) 500-0706
Phone(713) 500-6325
Fax(713) 500-0706
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 1987
Enumeration DateMarch 9, 2006
Last NPPES UpdateApril 29, 20192 updates tracked since enumeration
✔ NPI 1497723027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 29505-20
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., Houston, TX 77030
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Other Names 1

Other Name (5)Alice Rock Keaton Md

Other Identifiers 1

Medicaid063644D6XPA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alice Rock Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456302017
PECOS Enrollment IDI20241030004526
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 Alice Rock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional Imaging, PLLC
22 mi
Geriatric Medicine
1717 ROTARY DR
Humble, TX 77338
  • Reassigned Medicare billing, Texas enrollment
  • 31 clinicians in this Medicare group
NPI 1902835895 (866) 676-6277

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Imaging for evaluation of swallowing function 74230
This process, known as a swallowing study, uses imaging technology to view how food and liquid move from your mouth to your stomach. It helps identify any issues you may have swallowing, which can be crucial for determining the best treatment plan.
41 services40 patients
X-ray of upper spine, 2-3 views 72040
An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
36 services35 patients
Single contrast x-ray of upper digestive tract 74240
A single contrast x-ray of the upper digestive tract is a diagnostic procedure that uses a special dye and x-rays to see how your digestive system is functioning. It helps in detecting abnormalities or diseases in your esophagus, stomach, and the first part of your small intestine.
35 services34 patients
X-ray of part of lower jaw, 1-4 views 70100
An X-ray of the lower jaw, with 1-4 views, is a non-invasive imaging procedure. It helps visualize the jaw structure, checking for issues like fractures, infections, or dental problems. It's quick, painless, and provides valuable information for your treatment plan.
30 services30 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 patients
Evaluation of swallowing function image 92611
An evaluation of swallowing function image is a diagnostic procedure. It involves capturing images of your throat as you swallow. This helps identify any issues with swallowing, which could be due to various conditions like stroke, cancer, or nerve disease.
12 services12 patients

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.

GREGORY GASKEY MD
Student in an Organized Health Care Education/Training Program
6431 FANNIN ST., SUITE MSB 1.255E
HOUSTON, TX 77030
Harris County (832) 325-7222
LARA SAMARNEH
Emergency Medicine
6431 FANNIN ST., JJL270
HOUSTON, TX 77030
Harris County (713) 500-0758
DEVEN NIRAJ PATEL MD
Student in an Organized Health Care Education/Training Program
6431 FANNIN ST., MSB 3
HOUSTON, TX 77030
Harris County (713) 500-6397
DAVID R MURDOCK MD
Internal Medicine
6431 FANNIN ST., MSB 6.100
HOUSTON, TX 77030
Harris County (713) 500-6715
RYAN CHRISTOPHER MOLINA MD
Student in an Organized Health Care Education/Training Program
6431 FANNIN ST., MSB 2.116
HOUSTON, TX 77030
Harris County (713) 500-7640
DR. SHAUN GREGORY COLLINS DO
Emergency Medicine
6431 FANNIN ST., JJL 2ND FLOOR
HOUSTON, TX 77030
Harris County (713) 500-7882
DR. ZACHARY STANFORD JONES M.D.
Anesthesiology
6431 FANNIN ST., MSB 5.020
HOUSTON, TX 77030
Harris County (713) 704-4000
ABHIJEET DHOBLE M.D., M.P.H.
Internal Medicine (Interventional Cardiology)
6431 FANNIN ST., SUITE 1.224
HOUSTON, TX 77030
Harris County (713) 500-6071

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 Alice Rock's NPI number?

The NPI number for Alice Rock is 1497723027. It was assigned to this individual provider in the NPPES registry on March 9, 2006. The provider is also known as Alice Rock Keaton MD.

Where is Alice Rock located?

Alice Rock practices at 6431 Fannin St. Suite Msb5.111, Houston, TX 77030. The listed phone number is (713) 500-6325.

What is Alice Rock's specialty?

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

Is Alice Rock enrolled in Medicare?

Yes. Alice Rock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Alice Rock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alice Rock reassigns Medicare benefits to Professional Imaging, PLLC (Humble, 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 Alice Rock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alice Rock was last updated on April 29, 2019. 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.