Organization Active NPI

Premier Primary Care, PLLC

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1639756943
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PREMIER PRIMARY CARE, PLLC
Practice address
5252 Hollister St Ste 114
Houston, TX 77040-6210
Phone
(832) 933-3087
Fax
(888) 815-1786
NPI assigned
Mar 24, 2021
Last updated
Oct 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Authorized official

Name
Dr. Malini Kumar, MDNPI 1801866165
Title
Owner
Phone
(832) 933-3087

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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

5252 Hollister St Ste 114
Houston, TX 77040-6210

Mailing address

5252 Hollister St Ste 114
Houston, TX 77040-6210
Phone (832) 933-3087

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210520001698 TX Part B Supplier - Clinic/Group Practice 6305245549 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2271265Premier Primary Care5252 Hollister St Suite 114, Houston, TX 77040Certificate of waiverOct 30, 2026

National Provider Directory

National Provider Directory

Locations

5252 Hollister St
Houston, TX 77040
Phone (215) 622-4440

5252 Hollister St
Ste 114
Houston, TX 77040
Phone (832) 933-3087

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1639756943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 HOLLISTER ST STE 114",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406210",
            "telephone_number": "832-933-3087",
            "fax_number": "888-815-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 HOLLISTER ST STE 114",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406210",
            "telephone_number": "832-933-3087",
            "fax_number": "888-815-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "MALINI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-933-3087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.

Verify at the official NPI Registry.