Neches Clinic PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

NECHES CLINIC PLLC

Practice address

2965 Harrison St Ste 222
Beaumont, TX 77702-1100

Phone

(409) 892-1003

Fax

(409) 892-2655

NPI assigned

Sep 21, 2015

Last updated

Feb 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Reji John, M.D.NPI 1245279421

Title

Owner

Phone

(409) 892-1003

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22304/brand/1/csg/1/fhir/r4

Practitioners 19

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.

• Reji John, MD

  • Nephrology Physician
  • Beaumont, TX
  • NPI 1245279421
  Medicare reassignment Care Compare group NPD Authorized official
• Hai Duc Nguyen, FNP-C

  • Nurse Practitioner
  • Beaumont, TX
  • NPI 1346866944
  Medicare reassignment Care Compare group NPD
• Zakir Husain Shaik, MD

  • Nephrology Physician
  • Beaumont, TX
  • NPI 1700019874
  Medicare reassignment Care Compare group NPD
• Megan Calloway, RN

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1689282816
  NPD
• Fatima Y Douglas, FNP

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1821799594
  NPD
• Tracy K Foster, APRN

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1689012965
  NPD
• Lauren Goodhue

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1306405154
  NPD
• Jorge A Hernandez, MD

  • Cardiovascular Disease Physician
  • Beaumont, TX
  • NPI 1356338347
  NPD
• Laura Patricia Thibodaux, FNP

  • Nurse Practitioner
  • Beaumont, TX
  • NPI 1285207860
  NPD
• Mohammad Issa Alghrouz, MD

  • Cardiovascular Disease Physician
  • Beaumont, TX
  • NPI 1184983686
  NPD (past)
• Sheila Dian Devaugh, APRN

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1083610224
  NPD (past)
• Mark Fasulo, MD

  • Cardiovascular Disease Physician
  • Beaumont, TX
  • NPI 1366686487
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1447629415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 HARRISON ST STE 222",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021100",
            "telephone_number": "409-892-1003",
            "fax_number": "409-892-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 HARRISON ST STE 222",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021100",
            "telephone_number": "409-892-1003",
            "fax_number": "409-892-2655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2014 S Wheeler St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "TX",
            "postal_code": "759515626",
            "country_code": "US",
            "telephone_number": "409-892-1003",
            "fax_number": "409-892-2655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3748 Meeks Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "TX",
            "postal_code": "776324514",
            "country_code": "US",
            "telephone_number": "409-892-1003",
            "fax_number": "409-892-2655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NECHES CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "REJI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-892-1003",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447629415",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fatima Natouf, DDS
• Shawntelle Nauls
• Daritza Nazario Rodriguez
• Neb-Meds Inc (Medical Management Services Inc)
• Nec Beaumont Emergency Center
• Neches Hospice, LLC
• Neches Rehabilitation and Testing Inc (Health and Medical Practice Associates)
• Necole Rivera PLLC
• Mary Alice Ned, SLPA
• John William Neely, LCDC

• Nephrology Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.