Organization Active NPI

Medical Clinic of Bellaire PA

  • Specialist
  • Bellaire, TX
National Provider Identifier
1417959784
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K5547 Issued in TX
Legal business name
MEDICAL CLINIC OF BELLAIRE PA
Practice address
5959 West Loop S Ste 510
Bellaire, TX 77401
Phone
(713) 526-5606
Fax
(713) 526-0058
NPI assigned
Jun 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Authorized official

Name
Dr. Esther Guy, MDNPI 1740399484
Title
President
Phone
(713) 526-5606

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X K5547 TX Primary

Addresses

Primary practice location

5959 West Loop S Ste 510
Bellaire, TX 77401

Mailing address

5959 West Loop S Ste 510
Bellaire, TX 77401-2406
Phone (713) 526-5606

Other practice location 1

1200 Binz St Ste 1410
Houston, TX 77004-6948
Phone (713) 526-5606

Other practice location 2

5959 West Loop S Ste 510
Bellaire, TX 77401
Phone (713) 526-5606

Other identifiers 2

IdentifierTypeStateIssuer
0017LMOtherTXBLUE CROSS GROUP #
1740399484OtherTXINDIVIDUAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040805001586 TX Part B Supplier - Clinic/Group Practice 9032180518 Receives reassigned benefits from 1 practitioner
Practice locations: Bellaire, TX

National Provider Directory

National Provider Directory

Locations

6800 West Loop S
Bellaire, TX 77401
Phone (713) 664-3489

Practitioners & affiliated clinicians

Practitioners 2

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": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1417959784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 WEST LOOP S STE 510",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012406",
            "telephone_number": "713-526-5606",
            "fax_number": "713-526-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 WEST LOOP S STE 510",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "77401",
            "telephone_number": "713-526-5606",
            "fax_number": "713-526-0058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Binz St Ste 1410",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770046948",
            "country_code": "US",
            "telephone_number": "713-526-5606",
            "fax_number": "713-526-0058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5959 West Loop S Ste 510",
            "address_purpose": "LOCATION",
            "city": "Bellaire",
            "state": "TX",
            "postal_code": "77401",
            "country_code": "US",
            "telephone_number": "713-526-5606",
            "fax_number": "713-526-0058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICAL CLINIC OF BELLAIRE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "GUY",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-526-5606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K5547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP #",
            "identifier": "0017LM",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1740399484",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.