NPIMap

Organization Active NPI

Procenture Medical Services LLC

Doing business as ProCenture Medical Services

  • Primary Care Clinic/Center
  • Houston, TX
National Provider Identifier
1043719867
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PROCENTURE MEDICAL SERVICES LLC
Doing business as
ProCenture Medical Services
Practice address
2014 Wentworth St
Houston, TX 77004-6084
Phone
(713) 459-2566
NPI assigned
Feb 7, 2018
Last updated
Jul 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Humaira Quereshi
Title
Billing
Phone
(281) 864-0448

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X
Community Health Clinic/Center 261QC1500X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2014 Wentworth St
Houston, TX 77004-6084

Mailing address

5925 Almeda Rd Unit 11701
Houston, TX 77004-7677
Phone (713) 459-2566

Other names 1

  • ProCenture Medical Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180308002066 TX Part B Supplier - Clinic/Group Practice 1557622552 Receives reassigned benefits from 32 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

1412 S Front St
Bellville, TX 77418
Phone (832) 844-0934

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1043719867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 ALMEDA RD UNIT 11701",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047677",
            "telephone_number": "713-459-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 WENTWORTH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770046084",
            "telephone_number": "713-459-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCENTURE MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "QUERESHI",
        "authorized_official_first_name": "HUMAIRA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "281-864-0448"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProCenture Medical Services",
            "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 Jul 20, 2023; 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.

Verify at the official NPI Registry.