Organization Active NPI

Houston Metropolitan Medical PLLC

  • General Practice Physician
  • Kingwood, TX
National Provider Identifier
1073182382
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
HOUSTON METROPOLITAN MEDICAL PLLC
Practice address
23692 Highway 59 N Ste B
Kingwood, TX 77339-3537
Phone
(281) 607-1818
NPI assigned
Jun 21, 2021
Last updated
Nov 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Authorized official

Name
Wilmer ValentinNPI 1174960967
Title
Member
Phone
(787) 412-0055

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

23692 Highway 59 N Ste B
Kingwood, TX 77339-3537

Mailing address

23692 Highway 59 N Ste B
Kingwood, TX 77339-3537
Phone (281) 607-1818

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210630001778 TX Part B Supplier - Clinic/Group Practice 6002217858 Receives reassigned benefits from 3 practitioners
Practice locations: Kingwood, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2246527Houston Metropolitan Medical23692 Highway 59 North, Suite B, Kingwood, TX 77339Certificate of waiverDec 26, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1073182382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23692 HIGHWAY 59 N STE B",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393537",
            "telephone_number": "281-607-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23692 HIGHWAY 59 N STE B",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393537",
            "telephone_number": "281-607-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON METROPOLITAN MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-21",
        "last_updated": "2022-11-01",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "VALENTIN",
        "authorized_official_first_name": "WILMER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "787-412-0055"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.

Verify at the official NPI Registry.