NPIMap

Organization Active NPI

Memorial Hermann Health System

  • Physiological Laboratory
  • Houston, TX
National Provider Identifier
1154595155
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
MEMORIAL HERMANN HEALTH SYSTEM
Practice address
13525 East Fwy
Houston, TX 77015-5902
Phone
(713) 363-2400
Fax
(713) 338-4158
NPI assigned
Apr 22, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Dennis Laraway
Title
Cfo
Phone
(713) 242-2707

Owners & managing parties with NPI records 18

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 18

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Affiliated clinicians 1,189

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,189

Care Compare: Hospital

Medicare Care Compare
Listed as
Memorial Hermann Memorial City HospitalCCN 450610
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Medicare participation

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

Hospital certification: CCN 450610

Legal name
MEMORIAL HERMANN HEALTH SYSTEM
Doing business as
MEMORIAL HERMANN MEMORIAL CITY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Aug 17, 1971
Last certification
Dec 6, 2024
Beds
821 (136 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Dec 31, 1910 in TX
Enrollment address
921 Gessner Rd
Houston, TX 77024-2501
Main/Primary Hospital Location
Hospital subgroups
Acute care

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070913000903 TX Part A Provider - Hospital 1759292683 9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Houston, TX

All disclosed owners & managing parties 32

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Greg Armstrong Individual Corporate Director Feb 8, 2022
Rishi Varma Individual OtherBoard Member Jan 1, 2025
Monica Benton Individual Corporate Director Feb 8, 2022
Memorial Hermann Health System Organization, Houston, TX Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2010 100%
Operational/Managerial Control Jan 1, 2013 100%
Richard Figueroa Individual Corporate Director Feb 8, 2022
Paul O'Sullivan Individual W-2 Managing EmployeeCeo-Memorial Hermann Memorial Ci Jul 1, 2015
Theresa Ancelet Pappas Individual Corporate OfficerVP Revenue Cycle Hospital Operation Nov 1, 2025
Sara Ortwein Individual OtherBoard Member Jan 1, 2025
John a. Graf Individual Other Jan 1, 2020
Jarvis Hollingsworth Individual Corporate Director Feb 8, 2022
Jay F Schneider Individual Other Jan 1, 2020
David Habachy Individual OtherBoard Member Jan 1, 2025
John Esquivel Individual Corporate Director Feb 8, 2022
Alan Victor Ytterberg Individual Corporate Director Feb 8, 2022
Neelofer S Durrani Individual OtherBoard Member Jan 1, 2025
Anne Taylor Individual Corporate Director Feb 8, 2022
Max Reynolds Individual Corporate OfficerPresident Jan 1, 2025
W-2 Managing EmployeeSenior Vice Preseident Jan 1, 2025
Ira L Flax Individual OtherBoard Member Jan 1, 2025
Charmaine Ferguson Individual W-2 Managing EmployeeVP Risk Managment & Litigation Aug 1, 2018
Aileen McCormick Individual OtherBoard Member Jan 1, 2025
Edward Adams Individual Corporate Director Feb 8, 2022
Caralisa M Simon Individual OtherBoard Member Jan 1, 2025
Alec King Individual Corporate OfficerTreasurer Jan 1, 2025
Christophe C Salcedo Individual Corporate Director Feb 8, 2022
Harry Pefanis Individual OtherBoard Member Jan 1, 2025
Gary J Sheppard Individual Corporate Director Feb 8, 2022
Kevin Brady Individual OtherBoard Member Jan 1, 2025
Alejandra Loessin Individual Corporate OfficerSecretary Jan 1, 2025
Anne Clutterbuck Individual OtherBoard Member Jan 1, 2025
Donald M Woo Individual Other Jan 1, 2020
David L Callender Individual Corporate OfficerPresident Sep 1, 2019
W-2 Managing EmployeeChief Executive Officer Sep 1, 2019
Willoughby C Williams Individual OtherBoard Member Jan 1, 2025

National Provider Directory

National Provider Directory

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X
Physiological Laboratory 293D00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

13525 East Fwy
Houston, TX 77015-5902

Mailing address

PO Box 301208
Dallas, TX 75303-1208
Phone (713) 338-4127

Other names 1

NPPES NPI Registry
  • Memorial Hermann Imaging Centers-East Houston Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 27, 2014.

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1154595155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301208",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753031208",
            "telephone_number": "713-338-4127",
            "fax_number": "713-338-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13525 EAST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770155902",
            "telephone_number": "713-363-2400",
            "fax_number": "713-338-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HERMANN HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "LARAWAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-242-2707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Hermann Imaging Centers-East Houston Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.