Organization Active NPI

Clear Lake Wound Care PLLC

  • Family Medicine Physician
  • Webster, TX
National Provider Identifier
1669998415
Registry record updated May 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CLEAR LAKE WOUND CARE PLLC
Practice address
600 N Kobayashi Ste 212
Webster, TX 77598-4841
Phone
(281) 816-3091
Fax
(832) 905-3942
NPI assigned
Aug 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2025

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

Authorized official

Name
Dr. Mohammad Baba
Title
Owner
Phone
(281) 816-3091

Specialties & licenses 1

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

Addresses

Primary practice location

600 N Kobayashi Ste 212
Webster, TX 77598-4841

Mailing address

PO Box 58378
Webster, TX 77598-8378
Phone (281) 316-3091

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171002001155 TX Part B Supplier - Clinic/Group Practice 1759656788 Receives reassigned benefits from 2 practitioners
Practice locations: La Porte, TX; Webster, TX

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

600 N Kobayashi
Ste 212
Webster, TX 77598
Phone (281) 816-3091

Practitioners 3

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": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746316800000",
    "number": "1669998415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58378",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775988378",
            "telephone_number": "281-316-3091",
            "fax_number": "832-905-3942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N KOBAYASHI STE 212",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984841",
            "telephone_number": "281-816-3091",
            "fax_number": "832-905-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR LAKE WOUND CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2025-05-04",
        "certification_date": "2025-05-04",
        "status": "A",
        "authorized_official_last_name": "BABA",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-816-3091",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "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 May 4, 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.