Organization Active NPI

Renovatio Medical

  • Multi-Specialty Clinic/Center
  • The Woodlands, TX
National Provider Identifier
1295551133
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
RENOVATIO MEDICAL
Practice address
9303 Pinecroft Dr Ste 250
The Woodlands, TX 77380-3183
Phone
(936) 444-4884
NPI assigned
Nov 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Authorized official

Name
Talal Kayyal
Title
Ceo
Phone
(713) 703-2398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

9303 Pinecroft Dr Ste 250
The Woodlands, TX 77380-3183

Mailing address

9303 Pinecroft Dr Ste 250
The Woodlands, TX 77380-3183

Other practice location 1

7812 Gateway Blvd E
El Paso, TX 79915-1803
Phone (936) 444-4884

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260316001155 TX Part B Supplier - Clinic/Group Practice 9638652860 Receives reassigned benefits from 1 practitioner
Practice locations: El Paso, TX; The Woodlands, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1295551133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9303 PINECROFT DR STE 250",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9303 PINECROFT DR STE 250",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803183",
            "telephone_number": "936-444-4884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7812 Gateway Blvd E",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799151803",
            "country_code": "US",
            "telephone_number": "936-444-4884",
            "fax_number": "888-777-6047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENOVATIO MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "KAYYAL",
        "authorized_official_first_name": "TALAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-703-2398"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.