Organization Active NPI

Progressive Medical Clinic, LLP

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1316991011
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PROGRESSIVE MEDICAL CLINIC, LLP
Practice address
11920 Astoria Blvd
Suite 300
Houston, TX 77089-6043
Phone
(281) 481-8878
Fax
(281) 481-9020
NPI assigned
May 19, 2006
Last updated
Nov 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Dr. Michael Larry Warneke, M.D.
Title
Managing Partner
Phone
(281) 481-8878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

11920 Astoria Blvd
Suite 300
Houston, TX 77089-6043

Mailing address

11920 Astoria Blvd
Suite 300
Houston, TX 77089-6043
Phone (281) 481-8878

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040424000061 TX Part B Supplier - Clinic/Group Practice 1850387796 Receives reassigned benefits from 4 practitioners
Practice locations: Houston, TX

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
45D0493977Progressive Medical Clinic LLP11920 Astoria Suite 300, Houston, TX 77089Provider-performed microscopyJun 16, 2027

National Provider Directory

National Provider Directory

Locations

11914 Astoria Blvd
Ste 180
Houston, TX 77089
Phone (281) 481-8878

11920 Astoria Blvd
Ste 300
Houston, TX 77089
Phone (281) 481-1197

Practitioners & affiliated clinicians

Practitioners 4

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": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1316991011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11920 ASTORIA BLVD",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896043",
            "telephone_number": "281-481-8878",
            "fax_number": "281-481-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11920 ASTORIA BLVD",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896043",
            "telephone_number": "281-481-8878",
            "fax_number": "281-481-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE MEDICAL CLINIC, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "WARNEKE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LARRY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "281-481-8878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.