Clear Lake Podiatry PLLC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

Legal business name

CLEAR LAKE PODIATRY PLLC

Practice address

600 N Kobayashi Ste 308
Webster, TX 77598-4841

Phone

(281) 724-5391

Fax

(281) 724-1861

NPI assigned

May 17, 2016

Last updated

Jun 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohammad J Baba, M.D.

Title

Owner

Phone

(281) 724-5391

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• CLS Health PLLC

  dba CLS Health

  • Pulmonary Disease Physician
  • Webster, TX
  • NPI 1750305355

  Member Of

  NPD member

Locations

Practitioners 6

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.

• Chad C Clause, DPM

  • Foot Surgery Podiatrist
  • Webster, TX
  • NPI 1861597668
  Medicare reassignment NPD
• Jawdat Raed Hafez, D.P.M.

  • Podiatrist
  • Webster, TX
  • NPI 1841634136
  Medicare reassignment NPD
• Stephanie Michelle Jupiter, D.P.M. / CWP

  • Primary Podiatric Medicine Podiatrist
  • Webster, TX
  • NPI 1295041002
  NPD
• Juneight C Alcivar, ACNP-AG

  • Acute Care Nurse Practitioner
  • Baytown, TX
  • NPI 1811406788
  NPD (past)
• Abdelnaser Elkhalili, MD

  • Rheumatology Physician
  • Webster, TX
  • NPI 1316935836
  NPD (past)
• Omar Mahmoud Albustami, MD

  • Pulmonary Disease Physician
  • Greensboro, NC
  • NPI 1205846334
  NPD (past)

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1083061287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58704",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775988704",
            "telephone_number": "281-724-5391",
            "fax_number": "281-724-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N KOBAYASHI STE 308",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984841",
            "telephone_number": "281-724-5391",
            "fax_number": "281-724-1861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 Highway 6 S Ste 203",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770794022",
            "country_code": "US",
            "telephone_number": "281-724-5391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 E Parkwood Ave",
            "address_purpose": "LOCATION",
            "city": "Friendswood",
            "state": "TX",
            "postal_code": "775465147",
            "country_code": "US",
            "telephone_number": "281-724-5391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLEAR LAKE PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "BABA",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-724-5391",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clear Lake Ophthalmology Clinic PLLC
• Clear Lake Oral and Maxillofacial Surgeyy, PLLC
• Clear Lake Pediatric Clinic, P.a.
• Clear Lake Pediatric Nephrology, P.a.
• Clear Lake Physicians, PLLC
• Clear Lake Primary Care PLLC
• Clear Lake Rehabilitation Hospital, LLC (Kindred Rehabilitation Hospital Clear Lake)
• Clear Lake Surgicare, LTD (Bay Area Surgicare Center)
• Clear Lake Urology
• Clear Lake Vascular Access Associates Series, PLLC

• Foot Surgery Podiatrist in Webster, TX
• Providers in Webster, TX by specialty
• Foot Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.