Active NPI
Endocrinology Clinic at Clear Lake Specialties PLLC
- Endocrinology, Diabetes & Metabolism Physician
- Webster, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- ENDOCRINOLOGY CLINIC AT CLEAR LAKE SPECIALTIES PLLC
- Practice address
- 600 N Kobayashi Ste 312
Webster, TX 77598-4841 - Phone
- (281) 724-8333
- Fax
- (281) 724-1861
- NPI assigned
- Nov 21, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohammad J Baba
- Title
- Owner
- Phone
- (281) 724-8333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary |
Addresses
Primary practice location
600 N Kobayashi Ste 312
Webster, TX 77598-4841
Mailing address
PO Box 57336
Webster, TX 77598-7336
Phone (281) 724-8333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190218002655 | TX | Part B Supplier - Clinic/Group Practice | 6608114517 |
Receives reassigned benefits from 5 practitioners Practice locations: Houston, TX; Webster, TX |
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 |
|---|---|---|---|
| 45D2157121 | Endocrinology Clinic at Clear Lake | Certificate of waiver | Oct 29, 2026 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Webster, TX
- NPI 1417996109
Endocrinology, Diabetes & Metabolism, TX
-
- Endocrinology, Diabetes & Metabolism Physician
- Webster, TX
- NPI 1043606619
Endocrinology, Diabetes & Metabolism, TX
-
- Endocrinology, Diabetes & Metabolism Physician
- Webster, TX
- NPI 1831519511
Endocrinology, Diabetes & Metabolism, TX
-
- Pulmonary Disease Physician
- Webster, TX
- NPI 1245228741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555545600000",
"number": "1578032363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 57336",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775987336",
"telephone_number": "281-724-8333",
"fax_number": "281-724-1861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N KOBAYASHI STE 312",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775984841",
"telephone_number": "281-724-8333",
"fax_number": "281-724-1861"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDOCRINOLOGY CLINIC AT CLEAR LAKE SPECIALTIES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-21",
"last_updated": "2019-04-18",
"status": "A",
"authorized_official_last_name": "BABA",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "281-724-8333"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Webster, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.