Active NPI
Havilah Medical and Wellness LLC
- Internal Medicine Physician
- Katy, TX
National Provider Identifier
1043045768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- HAVILAH MEDICAL AND WELLNESS LLC
- Practice address
- 440 Cobia Dr Ste 701
Katy, TX 77494-6892 - Phone
- (317) 457-1668
- NPI assigned
- Sep 3, 2024
- 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
- Magdelene Amoateng, MD
- Title
- Owner
- Phone
- (317) 457-1668
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
440 Cobia Dr Ste 701
Katy, TX 77494-6892
Mailing address
24303 Oasis Bend Dr
Katy, TX 77493-3851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Houston, TX
- NPI 1801356100
-
- Family Nurse Practitioner
- Houston, TX
- NPI 1619855632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747008000000",
"number": "1043045768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24303 OASIS BEND DR",
"city": "KATY",
"state": "TX",
"postal_code": "774933851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 COBIA DR STE 701",
"city": "KATY",
"state": "TX",
"postal_code": "774946892",
"telephone_number": "317-457-1668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAVILAH MEDICAL AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-03",
"last_updated": "2025-05-12",
"certification_date": "2025-05-12",
"status": "A",
"authorized_official_last_name": "AMOATENG",
"authorized_official_first_name": "MAGDELENE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "317-457-1668",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.