Organization Active NPI

Peak Primary Care

  • Primary Care Clinic/Center
  • Katy, TX
National Provider Identifier
1225795396
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PEAK PRIMARY CARE
Practice address
2039 N. Mason Road
Suite 601
Katy, TX 77449
Phone
(281) 665-9296
NPI assigned
Nov 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Authorized official

Name
Chelsea Bohac, AGNP-BCNPI 1780108175
Title
Administrator
Phone
(713) 589-3775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2039 N. Mason Road
Suite 601
Katy, TX 77449

Mailing address

2039 North Mason Road
Suite 601
Katy, TX 77449-7971
Phone (713) 315-7427

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL www.peakprimarykaty.com Direct
Other URL www.peakprimarykaty.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220321000797 TX Part B Supplier - Clinic/Group Practice 0840685350 Receives reassigned benefits from 1 practitioner
Practice locations: Katy, 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
45D2247953Peak Primary Care PLLC2039 North Mason Road Unit 601, Katy, TX 77449Certificate of waiverJan 10, 2028

National Provider Directory

National Provider Directory

Locations

2039 N Mason Rd
Ste 601
Katy, TX 77449
Phone (281) 665-9296

Practitioners & affiliated clinicians

Practitioners 4

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": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1225795396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2039 NORTH MASON ROAD",
            "address_2": "SUITE 601",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774497971",
            "telephone_number": "713-315-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 N. MASON ROAD",
            "address_2": "SUITE 601",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77449",
            "telephone_number": "281-665-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "BOHAC",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-589-3775",
        "authorized_official_credential": "AGNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.peakprimarykaty.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2039 N. Mason Road",
            "address_2": "Suite 601",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "77449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.peakprimarykaty.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2039 N. Mason Road",
            "address_2": "Suite 601",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "77449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.