NPIMap

Organization Active NPI

Memorial Hermann Health System

Doing business as Memorial Hermann Northeast

  • General Acute Care Hospital
  • Humble, TX
National Provider Identifier
1295843787
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
MEMORIAL HERMANN HEALTH SYSTEM
Doing business as
Memorial Hermann Northeast
Practice address
18951 Memorial North
Humble, TX 77338-4217
Phone
(281) 540-7700
NPI assigned
Aug 26, 2006
Last updated
Oct 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Authorized official

Name
Mr. Dennis Laraway
Title
Cfo
Phone
(713) 242-2707

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X TX
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

18951 Memorial North
Humble, TX 77338-4217

Mailing address

PO Box 301208
Dallas, TX 75303-1208
Phone (713) 338-4127

Other names 1

  • Memorial Hermann Northeast Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070522000618 TX Part A Provider - Hospital 1759292683 Practice locations: Kingwood, TX; Willis, TX; Humble, TX; Houston, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295843787. Details of each certification follow.

Hospital certification: CCN 450684

Legal name
MEMORIAL HERMANN HEALTH SYSTEM
Doing business as
MEMORIAL HERMANN NORTHEAST HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Oct 10, 1977
Last certification
Nov 8, 2024
Beds
257
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jan 1, 2007 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Dec 31, 1910 in TX
Enrollment address
18951 Memorial North
Memorial Hermann Northeast
Humble, TX 77338-4217
Main/Primary Hospital Location
Hospital subgroups
General

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Memorial Hermann Northeast HospitalCCN 450684 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2153991Memorial Hermann Employee Health Northeast18951 Memorial North, Humble, TX 77338Certificate of waiverSep 3, 2026

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hermann Health System2 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

4533 Kingwood Dr
Ste 500
Kingwood, TX 77345
Phone (346) 320-5300

4533 Kingwood Dr
Ste C1
Kingwood, TX 77345

Ownership & related parties

All disclosed owners & managing parties 29

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Greg Armstrong Individual Other Jan 1, 2024
Rishi Varma Individual Other Jan 1, 2024
Monica Benton Individual Other Jan 1, 2024
Memorial Hermann Health System Organization, Houston, TX Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2007 100%
Operational/Managerial Control Jan 1, 2007 100%
Richard Figueroa Individual Other Jan 1, 2024
Theresa Ancelet Pappas Individual Corporate OfficerVP Revenue Cycle Hospital Operation Nov 1, 2025
John a. Graf Individual Other Jan 1, 2020
Jarvis Hollingsworth Individual Other Jan 1, 2024
Jay F Schneider Individual Other Jan 1, 2024
David Habachy Individual Other Jan 1, 2024
John Esquivel Individual Other Jan 1, 2024
Alan Victor Ytterberg Individual Other Jan 1, 2024
Neelofer S Durrani Individual Other Jan 1, 2024
Anne Taylor Individual Other Jan 1, 2024
Max Reynolds Individual Corporate OfficerPresident Mar 1, 2025
W-2 Managing EmployeeSenior Vice President Mar 1, 2025
Ira L Flax Individual Corporate DirectorBoard Member Aug 30, 2018
Charmaine Ferguson Individual W-2 Managing EmployeeAvp Associate General Counsel Aug 1, 2018
Aileen McCormick Individual Corporate DirectorBoard Member Jan 1, 2025
Edward Adams Individual Other Jan 1, 2024
Caralisa M Simon Individual Corporate DirectorBoard Member Jan 1, 2025
Alec King Individual Corporate OfficerTreasurer Jan 1, 2022
Harry Pefanis Individual Corporate DirectorBoard Member Jan 1, 2025
Gary J Sheppard Individual Other Jan 1, 2023
Kevin Brady Individual Other Jan 1, 2024
Alejandra Loessin Individual Corporate OfficerSecretary Mar 1, 2025
Anne Clutterbuck Individual Corporate DirectorBoard Member Jan 1, 2025
Donald M Woo Individual Other Jan 1, 2020
David L Callender Individual Corporate OfficerPresident Sep 1, 2019
W-2 Managing EmployeeChief Executive Officer Sep 1, 2019
Willoughby C Williams Individual Corporate DirectorBoard Member Jan 1, 2025

Owners & managing parties with NPI records 16

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 16

All facility ownership & control disclosures 13

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Memorial Hermann Sugar Land HospitalSugar Land, TX, CCN 450848 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control (100%)		 Jan 1, 2013
Jan 1, 2013
Memorial Hermann Katy HospitalKaty, TX, CCN 450847 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 2001
Jul 1, 2001
Memorial Hermann Memorial City Medical CenterHouston, TX, CCN 450610 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2010
Jan 1, 2013
Memorial Hermann Texas Medical CenterHouston, TX, CCN 450068 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2013
Jan 1, 2013
Memorial Hermann Texas Medical Center Rehabilitation UnitHouston, TX, CCN 45T068 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2013
Jan 1, 2013
Memorial Hermann Hospital SystemHouston, TX, CCN 450184 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2013
Jan 1, 2013
Memorial Hermann Hospital System Rehabilitation UnitHouston, TX, CCN 45T184 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control (100%)		 Jan 1, 2013
Jan 1, 2013
Memorial Hermann Rehabilitation Hospital KatyKaty, TX, CCN 673038 Hospital 5% Or Greater Indirect Ownership Interest Apr 1, 2009
Tirr Memorial HermannHouston, TX, CCN 453025 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2013
Jan 1, 2013
Accentcare Home Health of Houston - North, LLCHouston, TX, CCN 457741 Home health agency 5% Or Greater Indirect Ownership Interest (40%) Apr 1, 2023
Accentcare Home Health of Houston - South, LLCSugar Land, TX, CCN 679102 Home health agency 5% Or Greater Indirect Ownership Interest (40%) Apr 1, 2023
Accentcare Hospice & Palliative Care of Houston - South, LLCHouston, TX, CCN 671559 Hospice 5% Or Greater Indirect Ownership Interest (40%) Apr 1, 2023
Accentcare Hospice & Palliative Care of Houston - North, LLCHouston, TX, CCN 671741 Hospice 5% Or Greater Indirect Ownership Interest (40%) Apr 1, 2023

Owned or controlled facilities with NPI records 26

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 26

Facilities with the same owner 13

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 13

Practitioners & affiliated clinicians

Practitioners 83

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.

View all 83

Affiliated clinicians 789

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 789

NPI Registry JSON

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1295843787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301208",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753031208",
            "telephone_number": "713-338-4127",
            "fax_number": "713-338-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18951 MEMORIAL NORTH",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384217",
            "telephone_number": "281-540-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HERMANN HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-26",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "LARAWAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-242-2707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Hermann Northeast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.