Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NOAH ROBERT FRY
NPI 1619670262
Pediatrics in Pasadena, TX

Q: 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.

Q: What is Noah Fry's specialty?

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

Q: 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 58 days 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.

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: August 09, 2026.

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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 and maintains a secondary practice location in Houston.

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

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Noah Robert Fry 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 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