Organization Active NPI

Richmond Medical Clinic Inc PLLC

  • Emergency Medicine Physician
  • Richmond, TX
National Provider Identifier
1124809751
Registry record updated Oct 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
RICHMOND MEDICAL CLINIC INC PLLC
Practice address
5530 Long Prairie Trce Ste 400
Richmond, TX 77407-2331
Phone
(832) 400-2731
NPI assigned
Oct 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2025

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

Authorized official

Name
Humaira Qureshi
Title
Authorized Official
Phone
(281) 712-8033

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary
Clinic/Center 261Q00000X
Radiology Clinic/Center 261QR0200X

Addresses

Primary practice location

5530 Long Prairie Trce Ste 400
Richmond, TX 77407-2331

Mailing address

5530 Long Prairie Trce Ste 400
Richmond, TX 77407-2331
Phone (832) 400-2731

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231125000260 TX Part B Supplier - Clinic/Group Practice 0042668444 Receives reassigned benefits from 5 practitioners
Practice locations: Richmond, 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
45D2314726Richmond Medical Clinic Inc PLLC5530 Long Prairie Trace Ste 400, Richmond, TX 77407Certificate of waiverNov 25, 2026

National Provider Directory

National Provider Directory

Locations

3514 Highway 36 S
Ste 600
Rosenberg, TX 77471
Phone (281) 261-0370

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760227200000",
    "number": "1124809751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 LONG PRAIRIE TRCE STE 400",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072331",
            "telephone_number": "832-400-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 LONG PRAIRIE TRCE STE 400",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072331",
            "telephone_number": "832-400-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND MEDICAL CLINIC INC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2025-10-12",
        "certification_date": "2025-10-12",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "HUMAIRA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "281-712-8033"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

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