NPIMap

Individual provider Active NPI

Clifford W Yut, MD

  • Pediatrics Physician
  • The Woodlands, TX
National Provider Identifier
1245260967
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K2830 Issued in TX
Practice address
8000 Research Forest Drive
Ste 360
The Woodlands, TX 77382
Phone
(281) 292-1191
Fax
(281) 362-9170
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K2830 TX
Pediatrics Physician 208000000X K2830 TX Primary

Addresses

Primary practice location

8000 Research Forest Drive
Ste 360
The Woodlands, TX 77382

Mailing address

8000 Research Forest Drive
Ste 360
The Woodlands, TX 77382
Phone (281) 292-1191

Other identifiers 1

IdentifierTypeStateIssuer
8M5232OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050110000968 TX Practitioner - Internal Medicine 4587612106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Baylor College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

17510 W Grand Pkwy S
Sugar Land, TX 77479-2649

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

8000 Research Forest Dr
Suite 360
The Woodlands, TX 77382-1559
Phone (281) 292-1192

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K2830TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Oct 18, 2017 Accepting new patients
Privia Medical Group Gulf Coast PLLC CurrentSince Oct 18, 2017 Accepting new patients

Locations

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

8000 Research Forest Dr
Ste 360
The Woodlands, TX 77382
Phone (281) 292-1191

4775 W Panther Creek Dr
Ste 345
The Woodlands, TX 77381
Phone (281) 292-1192

Interoperability endpoints

  • Direct secure messaging: clifford.yut.1@8042.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1245260967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 RESEARCH FOREST DRIVE",
            "address_2": "STE 360",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77382",
            "telephone_number": "281-292-1191",
            "fax_number": "281-362-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 RESEARCH FOREST DRIVE",
            "address_2": "STE 360",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77382",
            "telephone_number": "281-292-1191",
            "fax_number": "281-362-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUT",
        "first_name": "CLIFFORD",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K2830",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K2830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8M5232",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.