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MARINA MASCIALE
NPI 1568858926
Pediatrics in Houston, TX

Active since April 13, 2015PECOS Enrolled
1 BAYLOR PLZ, HOUSTON, TX 77030(361) 443-9002 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Marina Masciale NPPES

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

MARINA MASCIALE (NPI 1568858926) is an individual pediatrics provider in Houston, Texas, licensed in Texas (R5772) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1568858926
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMARINA MASCIALE
Location Address1 BAYLOR PLZHouston, TX 77030-3411
Mailing Address2200 Childrens Way, 8161 Doctor's Office TowerNashville, TN 37232-9760 · (615) 936-2555
Phone(361) 443-9002
Sole ProprietorNo
Enumeration DateApril 13, 2015
Last NPPES UpdateApril 22, 2020
NPPES CertifiedApril 22, 2020
✔ NPI 1568858926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · R5772
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.
1 BAYLOR PLZ, Houston, TX 77030
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Secondary Practice Location 1

Location 12200 Childrens Way, 8161 Doctor's Office TowerNashville, TN 37232-9760 · Phone (615) 936-2555

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health of TX, Harbor Health, 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)

Marina Masciale 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 Marina Masciale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Children's Physician Group
0.3 mi
Pediatrics
6621 FANNIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Childrens Physician Group
  • 2,498 clinicians in this Medicare group
NPI 1861675506 (832) 824-1000

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.

BAYLOR COLLEGE OF MEDICINE
General Acute Care Hospital
1 BAYLOR PLZ, SUITE 022D
HOUSTON, TX 77030
Harris County (713) 798-4620
MATTHEW CARROLL
Obstetrics & Gynecology
1 BAYLOR PLZ, BCM610
HOUSTON, TX 77030
Harris County (832) 826-7372
DR. HOLLAND MANON KAPLAN MD
Hospitalist
1 BAYLOR PLZ
HOUSTON, TX 77030
Harris County (940) 231-1879
SIDRAH SHAH MD
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ
HOUSTON, TX 77030
Harris County (713) 798-5928
MICHAEL AZAR MD (PLANNED 5/27/22)
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ
HOUSTON, TX 77030
Harris County (713) 798-6376
MICHELE ALEXIS CABEZA MD
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ
HOUSTON, TX 77030
Harris County (832) 824-0200
NATHANIEL GREY LOYD
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ
HOUSTON, TX 77030
Harris County (405) 834-5432
ANDREA ELIZABETH GULOY
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ
HOUSTON, TX 77030
Harris County (832) 824-1170

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 Marina Masciale's NPI number?

The NPI number for Marina Masciale is 1568858926. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Where is Marina Masciale located?

Marina Masciale practices at 1 Baylor Plz, Houston, TX 77030. The listed phone number is (361) 443-9002.

What is Marina Masciale's specialty?

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

Is Marina Masciale enrolled in Medicare?

Yes. Marina Masciale is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marina Masciale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marina Masciale reassigns Medicare benefits to Texas Children's Physician Group (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 Marina Masciale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marina Masciale accept?

Health plans from Antidote Health of TX, Harbor Health and Moda Health Plan, Inc. list Marina Masciale 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 Marina Masciale was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.