JOSEPH GARCIA-PRATS MD
NPI 1912087263
Pediatrics - Neonatal-Perinatal Medicine in Houston, TX

Active since October 17, 2006PECOS Enrolled
6621 FANNIN ST, HOUSTON, TX 77030(832) 826-1380(832) 825-2799 Get Directions Write a Review

NPPES record last updated: March 2, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Joseph Garcia-prats Md NPPES

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

JOSEPH GARCIA-PRATS MD (NPI 1912087263) is an individual neonatal-perinatal medicine provider in Houston, Texas, licensed in Texas (E5078) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912087263
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameJOSEPH GARCIA-PRATSCredential: MD
Location Address6621 FANNIN STHouston, TX 77030-2303
Mailing Address6621 Fannin StHouston, TX 77030-2303 · (832) 826-1380 · Fax (832) 825-2799
Fax(832) 825-2799
Sole ProprietorNo
Enumeration DateOctober 17, 2006
Last NPPES UpdateMarch 2, 2011
✔ NPI 1912087263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in TX · E5078
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.
6621 FANNIN ST, Houston, TX 77030

Other Identifiers 4

Medicare ID-Type Unspecified89973F
Medicare PINTXB116850TX
Medicaid134839304TX
Medicare UPINE77031

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph Garcia-prats 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 Joseph Garcia-prats reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
6620 MAIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,296 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Pediatrics (Pediatric Emergency Medicine)
6621 FANNIN ST
HOUSTON, TX 77030
Pediatrics (Pediatric Emergency Medicine)
6621 FANNIN ST
HOUSTON, TX 77030
Pediatrics (Pediatric Emergency Medicine)
6621 FANNIN ST
HOUSTON, TX 77030
Physical Therapist
6621 FANNIN ST
HOUSTON, TX 77030
Physician Assistant
6621 FANNIN ST
HOUSTON, TX 77030
Anesthesiology
6621 FANNIN ST
HOUSTON, TX 77030
Pediatrics (Pediatric Endocrinology)
6621 FANNIN ST
HOUSTON, TX 77030
Pediatrics (Pediatric Hematology-Oncology)
6621 FANNIN ST, MC 3-3320
HOUSTON, TX 77030

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 Joseph Garcia-prats's NPI number?

The NPI number for Joseph Garcia-prats is 1912087263. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Joseph Garcia-prats located?

Joseph Garcia-prats practices at 6621 Fannin St, Houston, TX 77030. The listed phone number is (832) 826-1380.

What is Joseph Garcia-prats's specialty?

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

Is Joseph Garcia-prats enrolled in Medicare?

Yes. Joseph Garcia-prats is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joseph Garcia-prats's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Garcia-prats 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 Joseph Garcia-prats's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Garcia-prats 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 2 other insurers list Joseph Garcia-prats 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 Joseph Garcia-prats was last updated on March 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.