NPIMap

Organization Active NPI

Diabetes Relief Houston Westside Series, LLC

  • Primary Care Clinic/Center
  • Houston, TX
National Provider Identifier
1225914468
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DIABETES RELIEF HOUSTON WESTSIDE SERIES, LLC
Practice address
11511 Katy Fwy Ste 100
Houston, TX 77079-1902
Phone
(281) 600-5000
Fax
(281) 215-5008
NPI assigned
Aug 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Scott A Hepford
Title
Ceo
Phone
(281) 600-5000

Specialties & licenses 1

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

Addresses

Primary practice location

11511 Katy Fwy Ste 100
Houston, TX 77079-1902

Mailing address

11511 Katy Fwy Ste 102
Houston, TX 77079-1903
Phone (281) 600-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210127002013 TX Part B Supplier - Clinic/Group Practice 5395159651 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Houston, TX

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Diabetes Relief Houston Westside Series LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11511 Katy Fwy
Ste 100
Houston, TX 77079
Phone (281) 600-5000

11511 Katy Fwy
Ste 102
Houston, TX 77079

Practitioners & affiliated clinicians

Practitioners 6

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": "1755043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1225914468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 KATY FWY STE 102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791903",
            "telephone_number": "281-600-5000",
            "fax_number": "281-215-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11511 KATY FWY STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791902",
            "telephone_number": "281-600-5000",
            "fax_number": "281-215-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES RELIEF HOUSTON WESTSIDE SERIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "HEPFORD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-600-5000"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.