Active NPI
Winnie Community Hospital, L.L.C.
Doing business as Riceland Clinic
- Primary Care Nurse Practitioner
- Vidor, TX
National Provider Identifier
1376937003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- AP1208950
- Legal business name
- WINNIE COMMUNITY HOSPITAL, L.L.C.
- Doing business as
- Riceland Clinic
Riceland Endocrinology Clinic
Riceland Family Practice - Practice address
- 20925 Ih 10
Vidor, TX 77662-2557 - Phone
- (409) 769-2295
- Fax
- (409) 769-3373
- NPI assigned
- Mar 19, 2015
- Last updated
- Sep 4, 2026
- Organization subpart
- Yes
- Parent organization
- WINNIE COMMUNITY HOSPITAL LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Muhammad Tahir Javed
- Title
- Ceo
- Phone
- (409) 840-9601
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | |||
| Physician Assistant | 363A00000X | PA00871 | TX | |
| Nurse Practitioner | 363L00000X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Primary Care Nurse Practitioner | 363LP2300X | AP1208950 | TX | Primary |
Addresses
Primary practice location
20925 Ih 10
Vidor, TX 77662-2557
Mailing address
538 Broadway
Winnie, TX 77665-7600
Phone (409) 296-6000
Other practice location 1
2400 Highway 365 Ste 112
Nederland, TX 77627-6268
Phone (409) 724-7900
Other practice location 2
2162 Texas Ave
Bridge City, TX 77611-2838
Phone (409) 767-7034
Other practice location 3
85 Ih 10 N Ste 112
Beaumont, TX 77707-2560
Phone (409) 239-5139
Other practice location 4
520 S Twin City Hwy Ste 102
Nederland, TX 77627-4246
Phone (409) 723-0420
Other practice location 5
2400 Highway 365 Ste 109
Nederland, TX 77627-6268
Phone (409) 237-2800
Other practice location 6
711 Highway 327 E
Silsbee, TX 77656-5005
Phone (409) 373-9160
Other names 3
- Riceland Clinic
- Riceland Endocrinology Clinic
- Riceland Family Practice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031218000349 | TX | Part B Supplier - Clinic/Group Practice | 3375440894 |
Receives reassigned benefits from 31 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Winnie, TX; Vidor, TX; Silsbee, TX; Port Arthur, TX; Nederland, TX; Beaumont, TX |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Riceland Psychiatric Clinic
- Psychiatry Physician
- Beaumont, TX
- NPI 1003690413
O20031218000349
-
dba Riceland Pain Clinic
- Interventional Pain Medicine Physician
- Nederland, TX
- NPI 1316623481
O20031218000349
-
dba Winnie Community Clinic
- Emergency Medicine Physician
- Winnie, TX
- NPI 1548395213
O20031218000349
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2136167 | Riceland Clinic Vidor | Certificate of waiver | Sep 4, 2027 |
National Provider Directory
National Provider Directory- Part of
- Winnie Comm Hosp LLC
Locations
515 S Archie St
Vidor, TX 77662
Phone (409) 769-2295
Practitioners & affiliated clinicians
Practitioners 29
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.
-
- Family Medicine Physician
- Winnie, TX
- NPI 1699773226
-
- Vascular & Interventional Radiology Physician
- Port Arthur, TX
- NPI 1053577890
-
- Nurse Practitioner
- Vidor, TX
- NPI 1760974711
-
- Family Nurse Practitioner
- Nederland, TX
- NPI 1871678268
Endocrinology, Diabetes & Metabolism
-
- Family Medicine Physician
- Houston, TX
- NPI 1295065142
-
- Family Medicine Physician
- Houston, TX
- NPI 1205812625
-
- Family Nurse Practitioner
- Beaumont, TX
- NPI 1124412341
-
- Endocrinology, Diabetes & Metabolism Physician
- Beaumont, TX
- NPI 1053321539
-
- Internal Medicine Physician
- Houston, TX
- NPI 1528695665
-
- Psychiatric/Mental Health Nurse Practitioner
- Beaumont, TX
- NPI 1821032665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788480000000",
"number": "1376937003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "538 BROADWAY",
"city": "WINNIE",
"state": "TX",
"postal_code": "776657600",
"telephone_number": "409-296-6000",
"fax_number": "409-396-6372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20925 IH 10",
"city": "VIDOR",
"state": "TX",
"postal_code": "776622557",
"telephone_number": "409-769-2295",
"fax_number": "409-769-3373"
}
],
"practiceLocations": [
{
"address_1": "2400 Highway 365 Ste 112",
"address_purpose": "LOCATION",
"city": "Nederland",
"state": "TX",
"postal_code": "776276268",
"country_code": "US",
"telephone_number": "409-724-7900",
"fax_number": "409-724-7910",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2162 Texas Ave",
"address_purpose": "LOCATION",
"city": "Bridge City",
"state": "TX",
"postal_code": "776112838",
"country_code": "US",
"telephone_number": "409-767-7034",
"fax_number": "409-200-7991",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "85 Ih 10 N Ste 112",
"address_purpose": "LOCATION",
"city": "Beaumont",
"state": "TX",
"postal_code": "777072560",
"country_code": "US",
"telephone_number": "409-239-5139",
"fax_number": "409-347-8856",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "520 S Twin City Hwy Ste 102",
"address_purpose": "LOCATION",
"city": "Nederland",
"state": "TX",
"postal_code": "776274246",
"country_code": "US",
"telephone_number": "409-723-0420",
"fax_number": "409-204-0039",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2400 Highway 365 Ste 109",
"address_purpose": "LOCATION",
"city": "Nederland",
"state": "TX",
"postal_code": "776276268",
"country_code": "US",
"telephone_number": "409-237-2800",
"fax_number": "409-666-3174",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "711 Highway 327 E",
"address_purpose": "LOCATION",
"city": "Silsbee",
"state": "TX",
"postal_code": "776565005",
"country_code": "US",
"telephone_number": "409-373-9160",
"fax_number": "855-538-3243",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WINNIE COMMUNITY HOSPITAL, L.L.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WINNIE COMMUNITY HOSPITAL LLC",
"enumeration_date": "2015-03-19",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A",
"authorized_official_last_name": "JAVED",
"authorized_official_first_name": "MUHAMMAD",
"authorized_official_middle_name": "TAHIR",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "409-840-9601",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA00871",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": "TX",
"license": "AP1208950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Riceland Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Riceland Endocrinology Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Riceland Family Practice",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Vidor, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.