Active NPI
Kelsey-Seybold Medical Group, PLLC
Doing business as Kelsey Seybold Clinic
- Multi-Specialty Clinic/Center
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- KELSEY-SEYBOLD MEDICAL GROUP, PLLC
- Doing business as
- Kelsey Seybold Clinic
- Practice address
- 2727 W Holcombe Blvd
Houston, TX 77025-1669 - Phone
- (713) 442-0000
- NPI assigned
- Jul 12, 2005
- Last updated
- Jun 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tamica Wilson
- Title
- Credentialing Specialist
- Phone
- (713) 442-4997
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Allergy & Immunology Physician | 207K00000X | |||
| Dermatology Physician | 207N00000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Ophthalmology Physician | 207W00000X | |||
| Orthopaedic Surgery Physician | 207X00000X | |||
| Otolaryngology Physician | 207Y00000X | |||
| Pediatrics Physician | 208000000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Diagnostic Radiology Physician | 2085R0202X | |||
| Colon & Rectal Surgery Physician | 208C00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
2727 W Holcombe Blvd
Houston, TX 77025-1669
Mailing address
11511 Shadow Creek Pkwy
Pearland, TX 77584-7298
Phone (713) 442-2794
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133543205 | Medicaid | TX | |
| 112588201 | Medicaid | TX | |
| 154657401 | Medicaid | TX |
Other names 1
- Kelsey Seybold Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0916768 | Kelsey-Seybold Clinic Main Campus Clinic | Provider-performed microscopy | Sep 6, 2027 |
| 45D2137723 | Kelsey-Seybold Clinic Main Campus Exec Health | Certificate of waiver | Oct 2, 2027 |
| 45D2219591 | Kelsey-Seybold Clinic Main Campus Lab | Registration | Jan 4, 2028 |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
dba Kelsey-Seybold Clinic Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Houston, TX
- NPI 1699327734
Member Of
Locations (25 of 80)
17042 State Highway 60 S
Bay City, TX 77414
6300 Garth Rd
Baytown, TX 77521
Phone (713) 442-1240
6300 Garth Rd
Ste 200
Baytown, TX 77521
Phone (713) 442-1240
8280 Sheldon Rd
Channelview, TX 77530
1501 McKinzie Rd
Corpus Christi, TX 78410
Phone (361) 242-5131
14700 FM 2100 Rd
Ste A
Crosby, TX 77532
Phone (281) 328-2568
8300 FM 1960 W400
Dallas, TX 75284
Phone (281) 469-1321
11284 Westheimer Rd
Houston, TX 77042
Phone (713) 442-7700
1200 McKinney St
Houston, TX 77010
1200 McKinney St
Ste 473
Houston, TX 77010
Phone (713) 442-4700
13114 FM 1960 Rd W
Ste 200
Houston, TX 77065
Phone (281) 890-6446
15555 Kuykendahl Rd
Ste 400
Houston, TX 77090
15655 Cypress Wood Medical Dr
Ste 1106A
Houston, TX 77014
1900 North Loop W
Fl 4
Houston, TX 77018
1900 North Loop W
Fl 4L
Houston, TX 77018
1900 North Loop W
Ste 310
Houston, TX 77018
Phone (281) 749-1861
2040 W Gray St
Houston, TX 77019
2040 W Gray St
Ste 120
Houston, TX 77019
Phone (713) 442-3400
2040 W Gray St
Ste 120200
Houston, TX 77019
2040 W Gray St
Ste 200
Houston, TX 77019
Phone (713) 442-3400
2400 University Blvd
Side B
Houston, TX 77005
2400 University Blvd
Ste 200
Houston, TX 77005
Phone (713) 442-7300
2414 University Blvd
Houston, TX 77005
2414 University Blvd
Side A
Houston, TX 77005
2414 University Blvd
Ste 200
Houston, TX 77005
Phone (713) 442-7300
Ownership & related parties
Subparts reporting this organization as parent 5
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Kelsey-Seybold ASC Springwoods Village
- Ambulatory Surgical Clinic/Center
- Spring, TX
- NPI 1124894423
-
dba Kelsey Seybold ASC Memorial Villages
- Ambulatory Surgical Clinic/Center
- Houston, TX
- NPI 1144977026
-
dba Kelsey-Seybold Clinic Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Houston, TX
- NPI 1699327734
-
dba Kelsey Seybold ASC Bay Area
- Ambulatory Surgical Clinic/Center
- Webster, TX
- NPI 1700648037
-
dba Kelsey Seybold ASC Fort Bend
- Ambulatory Surgical Clinic/Center
- Sugar Land, TX
- NPI 1720840390
Practitioners & affiliated clinicians
Practitioners 1,917
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Houston, TX
- NPI 1982286696
-
- Family Medicine Physician
- Conroe, TX
- NPI 1487235941
-
- Certified Registered Nurse Anesthetist
- Houston, TX
- NPI 1780003053
-
- Obstetrics & Gynecology Physician
- Sugar Land, TX
- NPI 1730356569
-
- Internal Medicine Physician
- Houston, TX
- NPI 1093749103
-
- Acute Care Nurse Practitioner
- Houston, TX
- NPI 1598243487
-
- Family Medicine Physician
- Houston, TX
- NPI 1780820258
-
- Diagnostic Radiology Physician
- Houston, TX
- NPI 1265759062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780358400000",
"number": "1013915255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11511 SHADOW CREEK PKWY",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847298",
"telephone_number": "713-442-2794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 W HOLCOMBE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770251669",
"telephone_number": "713-442-0000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KELSEY-SEYBOLD MEDICAL GROUP, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-12",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "TAMICA",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "713-442-4997"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Colon & Rectal Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133543205",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112588201",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154657401",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kelsey Seybold Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Kelsey Seybold Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.