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NPI · 1104248772 · NPPES-sourced

Kristin Massimo PA-C

ActivePhysician Assistant
NPI Number
1104248772
Type 1 · Individual
Taxonomy Code
363A00000X
Contact
(203) 217-2263
License PA · AO004787
Last Updated
About 7 months ago (Oct 2025)
Enumerated 2014-01-15
Primary practice addressTX · 77015-5803
13111 East FwyHouston, TX 77015-5803
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About this NPIWhat this record shows.

NPI 1104248772 is registered to Kristin Massimo PA-C, a Physician Assistant practising at 13111 East Fwy in Houston, Texas. Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Kristin Massimo PA-C has been enumerated in the National Provider Identifier (NPI) registry since 2014.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2014-01-15
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Kristin Massimo PA-C accepts. To confirm in-network status with your specific health plan, contact Kristin Massimo PA-C directly at (203) 217-2263.

Frequently asked

Yes. NPI 1104248772 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (203) 217-2263.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Kristin Massimo PA-C is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363A00000X
Last updated2025-10
Enumerated2014-01-15
StatusActive
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