ALISHA DANIELLE PRYSTOWSKY MD
NPI 1679079289
Pediatrics in Houston, TX

Q: What is Alisha Prystowsky's NPI number?

The NPI number for Alisha Prystowsky is 1679079289. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Q: What is Alisha Prystowsky'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 Alisha Prystowsky was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since April 03, 2018PECOS Enrolled

6621 FANNIN ST, HOUSTON, TX 77030(832) 824-1000 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Alisha Danielle Prystowsky Md NPPES

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

ALISHA DANIELLE PRYSTOWSKY MD (NPI 1679079289) is an individual pediatrics provider in Houston, Texas, licensed in Texas (T8312) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jefferson.

NPPES Registry Identity

NPI1679079289

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameALISHA DANIELLE PRYSTOWSKYCredential: MD

Location Address6621 FANNIN STHouston, TX 77030-2399

Mailing Address4740 S I 10 Service Rd W Ste 120Metairie, LA 70001-1214 · (504) 988-5458 · Fax (504) 988-6808

Phone(832) 824-1000

Sole ProprietorYes

Enumeration DateApril 3, 2018

Last NPPES UpdateMay 28, 2025

NPPES CertifiedMay 28, 2025

✔ NPI 1679079289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TX · T8312

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.

Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License T8312 (TX)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6621 FANNIN ST, Houston, TX 77030

Open in Google Maps ↗

Secondary Practice Location 1

Location 11514 Jefferson HwyJefferson, LA 70121-2429 · Phone (866) 624-7637

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alisha Danielle Prystowsky Md 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 Reassignments

Medicare enrollment records show Alisha Prystowsky reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texas Children's Physician Group

Same address

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

Phoenix Children's Medical Group

995 mi

Multi-Specialty

5131 E SOUTHERN AVE
Mesa, AZ 85206

Reassigned Medicare billing, Arizona enrollment
Medicare enrollment name: Phoenix Children's Hospital
1,416 clinicians in this Medicare group

NPI 1487814240 (602) 933-0002

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.

DR. TAKETO BABA M.D.

Pediatrics (Pediatric Emergency Medicine)