MARY KATHREN MOONEY ROUSE MD
NPI 1790314664
Pediatrics in Houston, TX

Q: What is Mary Rouse's NPI number?

The NPI number for Mary Rouse is 1790314664. It was assigned to this individual provider in the NPPES registry on April 3, 2020. The provider is also known as Mary Kathren Mooney.

Q: What is Mary Rouse'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 Mary Rouse was last updated on April 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 03, 2020PECOS Enrolled

6410 FANNIN ST STE 500, HOUSTON, TX 77030(832) 325-7111 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 7, 2023, Apr 3, 2020 (2 updates tracked since 2020).

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About Mary Kathren Mooney Rouse Md NPPES

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

MARY KATHREN MOONEY ROUSE MD (NPI 1790314664) is an individual pediatrics provider in Houston, Texas, licensed in Texas (U1122) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1790314664

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMARY KATHREN MOONEY ROUSECredential: MD

Location Address6410 FANNIN ST STE 500Houston, TX 77030-3005

Mailing Address6431 Fannin Street, Msb 3.151Houston, TX 77030

Phone(832) 325-7111

Sole ProprietorNo

Enumeration DateApril 3, 2020

Last NPPES UpdateApril 7, 20232 updates tracked since enumeration

NPPES CertifiedApril 7, 2023

✔ NPI 1790314664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TX · U1122

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

6410 FANNIN ST STE 500, Houston, TX 77030

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Other Names 1

Former Name (1)Mary Kathren Mooney

Secondary Practice Location 1

Location 15516 Lockwood DrHouston, TX 77026-1919 · Phone (713) 497-0000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health of TX, Blue Cross and Blue Shield of Texas, Community Health Choice 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)

Mary Kathren Mooney Rouse 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 Reassignment

Medicare enrollment records show Mary Rouse reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ut Physicians

Same address

Anesthesiology

6410 FANNIN ST, 1500
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
3,111 clinicians in this Medicare group

NPI 1033157821 (832) 325-7325

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.

PAIGE ROBERTS RD

Dietitian, Registered (Nutrition, Metabolic)