Individual provider Active NPI

Nelson A Clara, PAC

  • Surgical Physician Assistant
  • Houston, TX
National Provider Identifier
1699775361
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA00593 Issued in TX
Practice address
7737 Southwest Fwy
Suite 201
Houston, TX 77074-1807
Phone
(713) 776-0655
Fax
(713) 776-1069
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA00593 TX Primary

Addresses

Primary practice location

7737 Southwest Fwy
Suite 201
Houston, TX 77074-1807

Mailing address

PO Box 3567
Houston, TX 77253-3567
Phone (713) 790-5227

Other identifiers 2

IdentifierTypeStateIssuer
83N428OtherTXBCBS
2036774-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091222000373 TX Practitioner - Physician Assistant 3072653195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tsa-Texas Surgical Associates LLPGroup PAC ID 7416844329, 5 clinicians

Practice addresses (Care Compare)

7737 Southwest Fwy
Suite 201
Houston, TX 77074-1819
Phone (713) 776-3402

Texas Surgical Associates
7737 Southwest Freeway Suite 201
Houston, TX 77074-1819

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA00593TXMDSurgical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: nelson.clarapa.p11@direct.texassurgical.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254960000000",
    "number": "1699775361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3567",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772533567",
            "telephone_number": "713-790-5227",
            "fax_number": "713-790-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7737 SOUTHWEST FWY",
            "address_2": "SUITE 201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741807",
            "telephone_number": "713-776-0655",
            "fax_number": "713-776-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARA",
        "first_name": "NELSON",
        "middle_name": "A",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2009-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA00593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "83N428",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2036774-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.