Organization Active NPI

Mercy-Teddy Health Care PLLC

Doing business as Zion Urgent Care

  • Urgent Care Clinic/Center
  • Katy, TX
National Provider Identifier
1386100782
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MERCY-TEDDY HEALTH CARE PLLC
Doing business as
Zion Urgent Care
Practice address
25311 Kingsland Blvd Ste 190
Katy, TX 77494-7349
Phone
(832) 913-8504
Fax
(832) 913-8527
NPI assigned
Feb 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Authorized official

Name
Tewodros Woldemariam TeketelNPI 1386070159
Title
Medical Director
Phone
(832) 447-6454

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

25311 Kingsland Blvd Ste 190
Katy, TX 77494-7349

Mailing address

25311 Kingsland Blvd Ste 190
Katy, TX 77494-7349
Phone (832) 447-6454

Other names 1

  • Zion Urgent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190528001101 TX Part B Supplier - Clinic/Group Practice 6507109931 Receives reassigned benefits from 1 practitioner
Practice locations: Katy, 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": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1386100782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25311 KINGSLAND BLVD STE 190",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947349",
            "telephone_number": "832-447-6454",
            "fax_number": "866-237-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25311 KINGSLAND BLVD STE 190",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947349",
            "telephone_number": "832-913-8504",
            "fax_number": "832-913-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY-TEDDY HEALTH CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "TEKETEL",
        "authorized_official_first_name": "TEWODROS",
        "authorized_official_middle_name": "WOLDEMARIAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "832-447-6454"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zion Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Zion Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.