Organization Active NPI

Well Health Medical Clinic , PA

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1750527065
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N1318 Issued in TX
Legal business name
WELL HEALTH MEDICAL CLINIC , PA
Practice address
12011 High Star Dr
Houston, TX 77072-1207
Phone
(832) 379-9200
NPI assigned
Dec 17, 2008
Last updated
Mar 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Authorized official

Name
Jessie Yuanqi Feng, M.D.NPI 1821290727
Title
Director/President
Phone
(713) 493-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N1318 TX Primary

Addresses

Primary practice location

12011 High Star Dr
Houston, TX 77072-1207

Mailing address

12011 High Star Dr
Houston, TX 77072-1207
Phone (832) 379-9200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090316000323 TX Part B Supplier - Clinic/Group Practice 3971660119 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, 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
45D1097976Well Health Medical Clinic, PA12011 High Star Drive, Houston, TX 77072Certificate of waiverApr 7, 2027

National Provider Directory

National Provider Directory

Locations

7789 Southwest Fwy
Ste 360
Houston, TX 77074
Phone (713) 383-6500

Practitioners & affiliated clinicians

Practitioners 1

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": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1750527065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12011 HIGH STAR DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770721207",
            "telephone_number": "832-379-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 HIGH STAR DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770721207",
            "telephone_number": "832-379-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL HEALTH MEDICAL CLINIC , PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "FENG",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_middle_name": "YUANQI",
        "authorized_official_title_or_position": "DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "713-493-9500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N1318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.