Organization Active NPI

McGovern Allergy Clinic, P.a.

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Bellaire, TX
National Provider Identifier
1194795450
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianTaxonomy code 207KI0005X
Legal business name
MCGOVERN ALLERGY CLINIC, P.A.
Practice address
4710 Bellaire Blvd
Suite 200
Bellaire, TX 77401-4526
Phone
(713) 661-1444
Fax
(713) 661-6604
NPI assigned
Jan 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Authorized official

Name
Dorrette Littleton
Title
Office Manager
Phone
(713) 662-5573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KI0005X Primary

Addresses

Primary practice location

4710 Bellaire Blvd
Suite 200
Bellaire, TX 77401-4526

Mailing address

4710 Bellaire Blvd
Suite 200
Bellaire, TX 77401-4526
Phone (713) 661-1444

Other identifiers 1

IdentifierTypeStateIssuer
082336101MedicaidTX

Other names 1

  • McGovern Allergy and Asthma Clinic, P.A. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040414001771 TX Part B Supplier - Clinic/Group Practice 8921093543 Receives reassigned benefits from 4 practitioners
Practice locations: Bellaire, 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
45D0490653McGovern Allergy & Asthma Clinic, PA4710 Bellaire Blvd Ste 200, Bellaire, TX 77401Certificate of waiverAug 19, 2026

National Provider Directory

National Provider Directory

Locations

4710 Bellaire Blvd
Ste 200
Bellaire, TX 77401
Phone (713) 661-1444

Practitioners & affiliated clinicians

Practitioners 5

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": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1194795450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 BELLAIRE BLVD",
            "address_2": "SUITE 200",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014526",
            "telephone_number": "713-661-1444",
            "fax_number": "713-661-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 BELLAIRE BLVD",
            "address_2": "SUITE 200",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014526",
            "telephone_number": "713-661-1444",
            "fax_number": "713-661-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCGOVERN ALLERGY CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "LITTLETON",
        "authorized_official_first_name": "DORRETTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "713-662-5573"
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082336101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McGovern Allergy and Asthma Clinic, P.A.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McGovern Allergy and Asthma Clinic, P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.