Organization Active NPI

Diverse Community Healthcare PLLC

  • Internal Medicine Physician
  • Porter, TX
National Provider Identifier
1295291367
Registry record updated Nov 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DIVERSE COMMUNITY HEALTHCARE PLLC
Practice address
21693 FM 1314 Rd Ste 400
Porter, TX 77365-7680
Phone
(281) 354-2417
Fax
(281) 786-0267
NPI assigned
Feb 14, 2019
Last updated
Nov 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2026

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

Authorized official

Name
Dr. Randall Roland, DONPI 1275912354
Title
Owner/Provider
Phone
(281) 354-2417

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

21693 FM 1314 Rd Ste 400
Porter, TX 77365-7680

Mailing address

21693 FM 1314 Rd Ste 400
Porter, TX 77365-7680
Phone (281) 354-2417

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190408000732 TX Part B Supplier - Clinic/Group Practice 7911248646 Receives reassigned benefits from 3 practitioners
Practice locations: Shenandoah, TX; Conroe, TX; Porter, TX; New Caney, TX; Kingwood, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793836800000",
    "number": "1295291367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21693 FM 1314 RD STE 400",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773657680",
            "telephone_number": "281-354-2417",
            "fax_number": "281-786-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21693 FM 1314 RD STE 400",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773657680",
            "telephone_number": "281-354-2417",
            "fax_number": "281-786-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSE COMMUNITY HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2026-11-05",
        "certification_date": "2026-11-05",
        "status": "A",
        "authorized_official_last_name": "ROLAND",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "281-354-2417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "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 Porter, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2026; 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.