Organization Active NPI

Northeast Primary Care Associates P.a.

Doing business as NE Primary Care Associates, P.A.

  • Family Medicine Physician
  • Humble, TX
National Provider Identifier
1649289174
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTHEAST PRIMARY CARE ASSOCIATES P.A.
Doing business as
NE Primary Care Associates, P.A.
Practice address
8901 FM 1960 Bypass W.
Suite 201
Humble, TX 77338-4025
Phone
(281) 548-3627
Fax
(281) 548-3660
NPI assigned
Aug 5, 2006
Last updated
Jul 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Authorized official

Name
Mark Owens
Title
Office Manager
Phone
(281) 548-3627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8901 FM 1960 Bypass W.
Suite 201
Humble, TX 77338-4025

Mailing address

PO Box 2316
Humble, TX 77347-2316
Phone (281) 548-3627

Other identifiers 2

IdentifierTypeStateIssuer
079552801MedicaidTX
0033CPOtherTXBCBS GROUP NUMBER

Other names 1

  • NE Primary Care Associates, P.A. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050323001360 TX Part B Supplier - Clinic/Group Practice 3779539689 Receives reassigned benefits from 3 practitioners
Practice locations: Humble, 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
45D0956868Northeast Primary Care Associates8901 FM 1960 Bypass West, Ste 201, Humble, TX 77338Certificate of waiverFeb 7, 2027

National Provider Directory

National Provider Directory

Locations

18838 S Memorial Dr
Ste 101
Humble, TX 77338
Phone (281) 358-4900

8901 FM 1960 Bypass Rd W
Ste 201
Humble, TX 77338
Phone (281) 548-3627

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCGCCA

Practitioners & affiliated clinicians

Practitioners 3

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": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1649289174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2316",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773472316",
            "telephone_number": "281-548-3627",
            "fax_number": "281-548-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 FM 1960 BYPASS W.",
            "address_2": "SUITE 201",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384025",
            "telephone_number": "281-548-3627",
            "fax_number": "281-548-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST PRIMARY CARE ASSOCIATES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "281-548-3627"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079552801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0033CP",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NE Primary Care Associates, P.A.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NE Primary Care Associates, P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.