Individual provider Active NPI

Yamileth Del Carmen Nicolau Cleghorn, M.D

  • Otolaryngology Physician
  • Humble, TX
National Provider Identifier
1104023993
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
P2745 Issued in TX
Practice address
18648 McKay Dr
Ste 120
Humble, TX 77338
Phone
(281) 548-2626
Fax
(281) 548-1659
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X P2745 TX Primary

Addresses

Primary practice location

18648 McKay Dr
Ste 120
Humble, TX 77338

Mailing address

10740 N Gessner Dr
Ste 310
Houston, TX 77064-1240
Phone (281) 897-0416

Other identifiers 1

IdentifierTypeStateIssuer
3107013-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120919000466 TX Practitioner - Otolaryngology 3274781000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Ear, Nose and Throat Specialists, PLLCGroup PAC ID 5799770202, 123 clinicians

Practice addresses (Care Compare)

300 Kingwood Medical Dr
Kingwood, TX 77339-6400
Phone (281) 312-4015

6565 W Loop S
Suite 350
Bellaire, TX 77401-3500
Phone (713) 791-9363

7900 Fannin St
Suite 1900
Houston, TX 77054-2934
Phone (713) 791-9363

9301 Pinecroft Dr
Suite 150
Shenandoah, TX 77380-3182
Phone (281) 362-1368

Hospital & facility affiliations

  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684
  • Memorial Hermann Surgical Hospital Kingwood Hospital, Kingwood, TX, CCN 670005
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Ear, Nose & Throat Specialists, PLLC Otolaryngology CurrentSince Nov 1, 2012 Accepting new patients

Locations

10740 N Gessner Rd
Ste 310
Houston, TX 77064
Phone (281) 897-0416

7900 Fannin St
#1900
Houston, TX 77054
Phone (713) 791-9363

18980 W Memorial Dr
Ste 300
Humble, TX 77338
Phone (281) 548-2626

18648 McKay Dr
Ste 120
Humble, TX 77338
Phone (281) 548-2626

9301 Pinecroft Dr
Ste 150
Shenandoah, TX 77380
Phone (281) 362-1368

Interoperability endpoints

  • Direct secure messaging: ynicolau@direct.uspi.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1104023993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10740 N GESSNER DR",
            "address_2": "STE 310",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770641240",
            "telephone_number": "281-897-0416",
            "fax_number": "281-890-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18648 MCKAY DR",
            "address_2": "STE 120",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "77338",
            "telephone_number": "281-548-2626",
            "fax_number": "281-548-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLAU CLEGHORN",
        "first_name": "YAMILETH",
        "middle_name": "DEL CARMEN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "P2745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3107013-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.