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NOAH ROBERT FRY
NPI 1619670262
Pediatrics in Pasadena, TX

Active since March 23, 2023PECOS Enrolled
3925 FAIRMONT PKWY, PASADENA, TX 77504(713) 873-6300 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Noah Robert Fry NPPES

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

NOAH ROBERT FRY (NPI 1619670262) is an individual pediatrics provider in Pasadena, Texas, licensed in Texas (W3257) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Baylor College Of Medicine (2023).

NPPES Registry Identity

NPI1619670262
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameNOAH ROBERT FRY
Location Address3925 FAIRMONT PKWYPasadena, TX 77504-3013
Mailing Address1 Baylor Plz # Bcm320Houston, TX 77030-3411 · (832) 824-1170 · Fax (832) 825-6497
Phone(713) 873-6300
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2023
Enumeration DateMarch 23, 2023
Last NPPES UpdateJune 18, 2026
NPPES CertifiedJune 18, 2026
✔ NPI 1619670262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · W3257
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.
3925 FAIRMONT PKWY, Pasadena, TX 77504
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Secondary Practice Location 1

Location 11 Baylor Plz # Bcm320Houston, TX 77030-3411 · Phone (832) 824-1170 · Fax (832) 825-6497

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)

Noah Robert Fry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921572983
PECOS Enrollment IDI20260701001278
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 Noah Fry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baylor College Of Medicine
13 mi
Family Medicine
1504 TAUB LOOP
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,296 clinicians in this Medicare group
NPI 1053352914 (713) 873-2000

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 77504 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.

SAMMIE JAMES
Pediatrics
3925 FAIRMONT PKWY
PASADENA, TX 77504
Harris County (713) 873-6300
HARRIS U ONUGHA
Pediatrics
3925 FAIRMONT PKWY
PASADENA, TX 77504
Harris County (713) 873-6300
MEGAN NICOLE MURPHY DO
Pediatrics
3925 FAIRMONT PKWY
PASADENA, TX 77504
Harris County (713) 873-6306
LYNDSEY LAFITTE PRATHER MD
Pediatrics
3925 FAIRMONT PKWY
PASADENA, TX 77504
Harris County (713) 873-6300
DEEPANKAR KUMAR SINHA MD
Pediatrics
3925 FAIRMONT PKWY
PASADENA, TX 77504
Harris County (713) 798-1750
KATHERINE MARIE NAEGER MD
Pediatrics
3925 FAIRMONT PKWY
PASADENA, TX 77504
Harris County (713) 873-6306
ANNA ELIZABETH RUEDA M.D.
Pediatrics
3925 FAIRMONT PKWY
PASADENA, TX 77504
Harris County (713) 873-6300
ILIANA M. CHASTEEN LCSW
Social Worker (Clinical)
3925 FAIRMONT PKWY
PASADENA, TX 77504
Harris County (713) 873-6341

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 Noah Fry's NPI number?

The NPI number for Noah Fry is 1619670262. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Noah Fry located?

Noah Fry practices at 3925 Fairmont Pkwy, Pasadena, TX 77504. The listed phone number is (713) 873-6300.

What is Noah Fry's specialty?

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

Is Noah Fry enrolled in Medicare?

Yes. Noah Fry is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Noah Fry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Noah Fry reassigns Medicare benefits to Baylor College Of Medicine (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 Noah Fry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Noah Fry 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 1 other insurer list Noah Fry 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 Noah Fry was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.