Organization Active NPI

Premier Medical Doctors PLLC

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1750995874
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PREMIER MEDICAL DOCTORS PLLC
Practice address
1213 Hermann Dr Ste 610
Houston, TX 77004-7012
Phone
(713) 524-3900
Fax
(713) 527-8356
NPI assigned
Sep 4, 2020
Last updated
Jul 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Nancy J Kelchlin
Title
Practice Manager
Phone
(713) 871-8826

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X

Addresses

Primary practice location

1213 Hermann Dr Ste 610
Houston, TX 77004-7012

Mailing address

1213 Hermann Dr Ste 610
Houston, TX 77004-7012
Phone (713) 524-3900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201125000731 TX Part B Supplier - Clinic/Group Practice 5597176479 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

1200 Binz St
Ste 690
Houston, TX 77004
Phone (713) 366-7831

1200 Binz St
Ste 950
Houston, TX 77004
Phone (713) 493-7700

1213 Hermann Dr
Ste 570
Houston, TX 77004
Phone (713) 524-3900

1213 Hermann Dr
Ste 610
Houston, TX 77004
Phone (281) 985-9362

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBICCD

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1750995874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR STE 610",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047012",
            "telephone_number": "713-524-3900",
            "fax_number": "713-527-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR STE 610",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047012",
            "telephone_number": "713-524-3900",
            "fax_number": "713-527-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL DOCTORS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "KELCHLIN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "713-871-8826"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 12, 2023; 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.