Individual provider Active NPI

Carl John Pellerin, MD

  • Ophthalmology Physician
  • Houston, TX
National Provider Identifier
1154996437
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
V7993 Issued in TX
Practice address
1740 W 27TH St Ste 180
Houston, TX 77008-1435
Phone
(713) 864-8652
NPI assigned
May 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X V7993 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X V7993 TX

Addresses

Primary practice location

1740 W 27TH St Ste 180
Houston, TX 77008-1435

Mailing address

1740 W 27TH St Ste 180
Houston, TX 77008-1435
Phone (713) 864-8652

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
I20250624002702 TX Practitioner - Ophthalmology 9335540145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical Branch at Galveston, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Eye AssociatesGroup PAC ID 9830143817, 3 clinicians

Practice addresses (Care Compare)

1740 W 27TH St
Suite 180
Houston, TX 77008-1435
Phone (713) 864-8652

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Eye Associates Ophthalmology Current Accepting new patients
Lone Star Eye Care, PA Ophthalmology CurrentSince Aug 1, 2025 Accepting new patients

Locations

1740 W 27th St
Ste 180
Houston, TX 77008
Phone (713) 405-7646

3515 Town Center Blvd S
Sugar Land, TX 77479
Phone (281) 277-8400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1154996437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 W 27TH ST STE 180",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081435",
            "telephone_number": "713-864-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W 27TH ST STE 180",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081435",
            "telephone_number": "713-864-8652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLERIN",
        "first_name": "CARL",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-20",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "V7993",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "V7993",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.