NPIMap

Organization Active NPI

M&M Clinical Group

  • Pain Medicine (Anesthesiology) Physician
  • Houston, TX
National Provider Identifier
1316348501
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
P6037 Issued in TX
Legal business name
M&M CLINICAL GROUP
Practice address
10021 Main St
B3
Houston, TX 77025-5224
Phone
(713) 369-1969
NPI assigned
Sep 8, 2014
Last updated
Sep 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Authorized official

Name
Rehan Memon, MDNPI 1053433938
Title
Owner
Phone
(713) 369-1969

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X P6037 TX
Addiction Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LA0401X P6037 TX
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X P6037 TX Primary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X P3036 TX

Addresses

Primary practice location

10021 Main St
B3
Houston, TX 77025-5224

Mailing address

10021 Main St
Suite B3
Houston, TX 77025-5224
Phone (713) 369-1969

Other identifiers 2

IdentifierTypeStateIssuer
P3036MedicaidTX
P6037MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141203002089 TX Part B Supplier - Clinic/Group Practice 4587986468 Receives reassigned benefits from 11 practitioners
Practice locations: Pasadena, TX; Katy, TX; Baytown, TX

National Provider Directory

National Provider Directory

Locations

3711 Garth Rd
Ste 180
Baytown, TX 77521

1682 W Baker Rd
Ste B
Baytown, TX 77521
Phone (281) 422-5000

3711 Garth Rd
Ste 18
Baytown, TX 77521

5350 Bellaire Blvd
Unit 355
Bellaire, TX 77402

550 Westcott St
Ste 540
Houston, TX 77007
Phone (713) 360-6259

10021 Main St
Ste B3
Houston, TX 77025
Phone (713) 668-1166

7326 Southwest Fwy
Ste 230
Houston, TX 77074
Phone (713) 714-6483

26077 Nelson Way
Ste 602
Katy, TX 77494
Phone (210) 563-4546

3315 Burke Rd
Ste 304
Pasadena, TX 77504

4102 Woodlawn Ave
Ste 230
Pasadena, TX 77504

Practitioners & affiliated clinicians

Practitioners 12

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": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1316348501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10021 MAIN ST",
            "address_2": "SUITE B3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770255224",
            "telephone_number": "713-369-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10021 MAIN ST",
            "address_2": "B3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770255224",
            "telephone_number": "713-369-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&M CLINICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "MEMON",
        "authorized_official_first_name": "REHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-369-1969",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "P6037",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "TX",
            "license": "P6037",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "P6037",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "P3036",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P3036",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P6037",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.