Organization Active NPI

Premier Hospitalist Group PLLC

  • Internal Medicine Physician
  • Kingwood, TX
National Provider Identifier
1245895333
Registry record updated May 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PREMIER HOSPITALIST GROUP PLLC
Practice address
22999 Highway 59 N
Kingwood, TX 77339-4412
Phone
(936) 443-7408
NPI assigned
May 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2019

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

Authorized official

Name
Khuzema Kanchwala
Title
Billing
Phone
(281) 467-1114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

22999 Highway 59 N
Kingwood, TX 77339-4412

Mailing address

16709 Highline Blvd
Conroe, TX 77306-6045
Phone (936) 443-7808

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1557014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557014400000",
    "number": "1245895333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16709 HIGHLINE BLVD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773066045",
            "telephone_number": "936-443-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22999 HIGHWAY 59 N",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394412",
            "telephone_number": "936-443-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOSPITALIST GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-05",
        "last_updated": "2019-05-05",
        "status": "A",
        "authorized_official_last_name": "KANCHWALA",
        "authorized_official_first_name": "KHUZEMA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "281-467-1114"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.