Active NPI
Premier Urology PLLC
- Urology Physician
- Kingwood, TX
National Provider Identifier
1669339925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- PREMIER UROLOGY PLLC
- Practice address
- 19701 Kingwood Dr BLDG 10
Kingwood, TX 77339-3775 - Phone
- (281) 358-0171
- NPI assigned
- Jan 8, 2026
- Last updated
- Aug 10, 2026
- 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
- Miller Callaway
- Title
- Authorized Official
- Phone
- (251) 786-1446
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
19701 Kingwood Dr BLDG 10
Kingwood, TX 77339-3775
Mailing address
19701 Kingwood Dr BLDG 10
Kingwood, TX 77339-3775
Phone (281) 358-0171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
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 |
|---|---|---|---|
| 45D2337817 | Premier Urology PLLC | Certificate of waiver | Jan 28, 2028 |
National Provider Directory
National Provider DirectoryLocations
215 Kingwood Executive Dr
Ste 250
Kingwood, TX 77339
Phone (281) 358-0171
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Urology Physician
- Kingwood, TX
- NPI 1235210774
-
- Urology Physician
- Kingwood, TX
- NPI 1760047765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786320000000",
"number": "1669339925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19701 KINGWOOD DR BLDG 10",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773393775",
"telephone_number": "281-358-0171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19701 KINGWOOD DR BLDG 10",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773393775",
"telephone_number": "281-358-0171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER UROLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-08",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A",
"authorized_official_last_name": "CALLAWAY",
"authorized_official_first_name": "MILLER",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "251-786-1446"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.