Organization Active NPI

Mosaic Clinic LLC

  • Dermatology Physician
  • Webster, TX
National Provider Identifier
1659672483
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
MOSAIC CLINIC LLC
Practice address
600 N Kobayashi Ste 213
Webster, TX 77598-4841
Phone
(281) 941-5556
Fax
(281) 412-7914
NPI assigned
Nov 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Mohammad J Baba, MD
Title
President
Phone
(281) 724-1860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

600 N Kobayashi Ste 213
Webster, TX 77598-4841

Mailing address

PO Box 58567
Webster, TX 77598-8567
Phone (281) 941-5556

Other practice location 1

2211 Norfolk St
Houston, TX 77098-4096
Phone (281) 941-5556

Other practice location 2

3401 Louisiana St
Houston, TX 77002-9556
Phone (281) 941-5556

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110930000187 TX Part B Supplier - Clinic/Group Practice 3173795887 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX; Webster, TX

National Provider Directory

National Provider Directory

Locations

2401 Yale St
Ste 2A
Houston, TX 77008

3101 Richmond Ave
Houston, TX 77098

3401 Louisiana St
Houston, TX 77002

902 Fairview Ave
Houston, TX 77006

3401 Louisiana St
Ste 155
Houston, TX 77002

2401 Yale St
Houston, TX 77008
Phone (713) 884-6204

5757 Woodway Dr
Ste 185
Houston, TX 77057

8901 State Highway 35 N
Van Vleck, TX 77482

600 N Kobayashi
Ste 213
Webster, TX 77598
Phone (281) 724-1862

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1659672483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58567",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775988567",
            "telephone_number": "281-941-5556",
            "fax_number": "281-412-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N KOBAYASHI STE 213",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984841",
            "telephone_number": "281-941-5556",
            "fax_number": "281-412-7914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 Norfolk St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770984096",
            "country_code": "US",
            "telephone_number": "281-941-5556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 Louisiana St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770029556",
            "country_code": "US",
            "telephone_number": "281-941-5556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOSAIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "BABA",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-724-1860",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "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 Feb 18, 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.