NPIMap

Individual provider Active NPI

Clyde McMorris Jr.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1528010519
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K5621 Issued in TX
Practice address
1315 St Joseph Pkwy
1701
Houston, TX 77002-8233
Phone
(713) 655-0528
Fax
(713) 655-0046
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K5621 TX Primary

Addresses

Primary practice location

1315 St Joseph Pkwy
1701
Houston, TX 77002-8233

Mailing address

PO Box 14908
Humble, TX 77347-4908
Phone (281) 934-1000

Other names 1

  • Dr. Clyde McMorris Jr. Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040903000144 TX Practitioner - Family Practice 2466347125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4019 Front St
Brookshire, TX 77423-2698
Phone (281) 934-1000

4019 S Front St
Brookshire, TX 77423-2698

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K5621TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clyde McMorris MD PA Family Medicine CurrentSince Feb 1, 2004 Accepting new patients
Clyde McMorris MD PA Family Medicine Current Accepting new patients
Grace Emergency Room, LLC Past Accepting new patients
Memorial Rehabilitation Associates, P.a. Past Accepting new patients
Christopher R Lockhart MD, PA Family Medicine Past Accepting new patients
Richard H. Rolnick, MD, PA Past Accepting new patients
Amazon Health Center, Inc Past Accepting new patients

Locations

4019 Front St
Brookshire, TX 77423
Phone (281) 934-1000

1315 St Joseph Pkwy
Ste 1701
Houston, TX 77002
Phone (713) 655-0528

Interoperability endpoints

  • Direct secure messaging: clyde.mcmorris@3870.securemail.prognocis.com

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Amedisys HospiceStafford, TX, CCN 451735 Hospice Contracted Managing Employee Jan 1, 2025
A Better HospiceHouston, TX, CCN 741647 Hospice Contracted Managing Employee (80%) May 1, 2017
Blue Stream Hospice and Palliative Care IncHouston, TX, CCN 971647 Hospice Contracted Managing Employee Jan 9, 2023
Hope Beyond Hospice IncThe Woodlands, TX, CCN 971765 Hospice Contracted Managing Employee (20%)
5% Or Greater Direct Ownership Interest (20%)		 Dec 1, 2021
Sep 14, 2021
Clouds Hospice Care IncHouston, TX, CCN A91561 Hospice Contracted Managing Employee (100%) Sep 4, 2025
Valued Heart Hospice & Palliative Care, LLCSugar Land, TX, CCN A91724 Hospice Contracted Managing Employee May 1, 2023
Medica Hospice and Palliative IncHouston, TX, CCN A91735 Hospice Contracted Managing Employee (100%) Jul 2, 2022

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1528010519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14908",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773474908",
            "telephone_number": "281-934-1000",
            "fax_number": "281-934-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY",
            "address_2": "1701",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028233",
            "telephone_number": "713-655-0528",
            "fax_number": "713-655-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMORRIS",
        "first_name": "CLYDE",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K5621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLYDE",
            "last_name": "MCMORRIS",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "MD PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.