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GENESIS LICONA MD
NPI 1871949248
Pediatrics - Neonatal-Perinatal Medicine in Houston, TX

Active since May 04, 2016PECOS Enrolled
1 BAYLOR PLZ, HOUSTON, TX 77030(713) 873-6017 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2025, Apr 14, 2022 (2 updates tracked since 2022).

About Genesis Licona Md NPPES

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

GENESIS LICONA MD (NPI 1871949248) is an individual neonatal-perinatal medicine provider in Houston, Texas, licensed in Texas (T7286) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1871949248
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameGENESIS LICONACredential: MD
Location Address1 BAYLOR PLZHouston, TX 77030-3411
Mailing Address6621 Fannin StHouston, TX 77030-2358 · (713) 873-6017
Phone(713) 873-6017
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 4, 2016
Last NPPES UpdateNovember 6, 20252 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
✔ NPI 1871949248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in TX · T7286✔ Licensed in TN · 59388
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License T7286 (TX)
1 BAYLOR PLZ, Houston, TX 77030
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11504 Taub LoopHouston, TX 77030-1608 · Phone (713) 832-8890
Location 22200 Childrens Way, 8161 DOTNashville, TN 37232-9760 · Phone (615) 936-2555 · Fax (615) 936-3601

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Genesis Licona Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072004944
PECOS Enrollment IDI20251118004619
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.

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 Genesis Licona's NPI number?

The NPI number for Genesis Licona is 1871949248. It was assigned to this individual provider in the NPPES registry on May 4, 2016.

Where is Genesis Licona located?

Genesis Licona practices at 1 Baylor Plz, Houston, TX 77030. The listed phone number is (713) 873-6017.

What is Genesis Licona's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Genesis Licona enrolled in Medicare?

Yes. Genesis Licona is registered in the Medicare PECOS enrollment system.

What insurance does Genesis Licona accept?

Health plans from Moda Health Plan, Inc. list Genesis Licona 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 Genesis Licona was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.