Memorial Hermann Health System

Organization Active NPI Physiological Laboratory · Sugar Land, TX

NPI 1841465697 · NPPES record last updated Jun 27, 2014

Key facts

NPI
1841465697
Entity type
Organization (NPI type 2)
Primary specialty
Physiological Laboratory 293D00000X
Legal business name
MEMORIAL HERMANN HEALTH SYSTEM
Practice address
16550-B Southwest Fwy
Sugar Land, TX 77479-2328
Phone
(281) 295-8015
Fax
(713) 338-4158
NPI assigned
Apr 23, 2008
Organization subpart
No

Authorized official

Name
Mr. Dennis Laraway
Title
Cfo
Phone
(713) 242-2707

Owners & managing parties with NPI records 18

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1,189

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,189

Medicare Care Compare: Hospital

Listed as
Memorial Hermann Memorial City Hospital CCN 450610
Overall star rating
★★★★☆ 4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Hospital certification: CCN 450610

Legal name
MEMORIAL HERMANN HEALTH SYSTEM
Doing business as
MEMORIAL HERMANN MEMORIAL CITY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Aug 17, 1971
Last certification
Dec 6, 2024
Beds
821 (136 certified)
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Incorporated
Dec 31, 1910 in TX
Enrollment address
921 Gessner Rd
Houston, TX 77024-2501
Main/Primary Hospital Location
Hospital subgroups
Acute care

All disclosed owners & managing parties 32

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Greg Armstrong
Individual
Corporate Director Feb 8, 2022
Rishi Varma
Individual
Other
Board Member
Jan 1, 2025
Monica Benton
Individual
Corporate Director Feb 8, 2022
Memorial Hermann Health System
Organization · Houston, TX
Corporation, Non-profit
5% Or Greater Direct Ownership Interest Jan 1, 2010 100%
Operational/Managerial Control Jan 1, 2013 100%
Richard Figueroa
Individual
Corporate Director Feb 8, 2022
Paul O'Sullivan
Individual
W-2 Managing Employee
Ceo-Memorial Hermann Memorial Ci
Jul 1, 2015
Theresa Ancelet Pappas
Individual
Corporate Officer
VP Revenue Cycle Hospital Operation
Nov 1, 2025
Sara Ortwein
Individual
Other
Board Member
Jan 1, 2025
John a. Graf
Individual
Other Jan 1, 2020
Jarvis Hollingsworth
Individual
Corporate Director Feb 8, 2022
Jay F Schneider
Individual
Other Jan 1, 2020
David Habachy
Individual
Other
Board Member
Jan 1, 2025
John Esquivel
Individual
Corporate Director Feb 8, 2022
Alan Victor Ytterberg
Individual
Corporate Director Feb 8, 2022
Neelofer S Durrani
Individual
Other
Board Member
Jan 1, 2025
Anne Taylor
Individual
Corporate Director Feb 8, 2022
Max Reynolds
Individual
Corporate Officer
President
Jan 1, 2025
W-2 Managing Employee
Senior Vice Preseident
Jan 1, 2025
Ira L Flax
Individual
Other
Board Member
Jan 1, 2025
Charmaine Ferguson
Individual
W-2 Managing Employee
VP Risk Managment & Litigation
Aug 1, 2018
Aileen McCormick
Individual
Other
Board Member
Jan 1, 2025
Edward Adams
Individual
Corporate Director Feb 8, 2022
Caralisa M Simon
Individual
Other
Board Member
Jan 1, 2025
Alec King
Individual
Corporate Officer
Treasurer
Jan 1, 2025
Christophe C Salcedo
Individual
Corporate Director Feb 8, 2022
Harry Pefanis
Individual
Other
Board Member
Jan 1, 2025
Gary J Sheppard
Individual
Corporate Director Feb 8, 2022
Kevin Brady
Individual
Other
Board Member
Jan 1, 2025
Alejandra Loessin
Individual
Corporate Officer
Secretary
Jan 1, 2025
Anne Clutterbuck
Individual
Other
Board Member
Jan 1, 2025
Donald M Woo
Individual
Other Jan 1, 2020
David L Callender
Individual
Corporate Officer
President
Sep 1, 2019
W-2 Managing Employee
Chief Executive Officer
Sep 1, 2019
Willoughby C Williams
Individual
Other
Board Member
Jan 1, 2025

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20070913000903 TX Part a Provider - Hospital 1759292683 9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Houston, TX

National Provider Directory

Locations

16550B Southwest Fwy
Sugar Land, TX 77479
Phone (281) 295-8015

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X
Physiological Laboratory 293D00000X Yes

Addresses

Primary practice location

16550-B Southwest Fwy
Sugar Land, TX 77479-2328

Mailing address

PO Box 301208
Dallas, TX 75303-1208
Phone (713) 338-4127

Other names

  • Memorial Hermann Imaging Centers-First Colony Center Doing business as

Other providers in Sugar Land, TX

All providers in Sugar Land, TX · Physiological Laboratory in Texas

Sources for this page

Verify at the official NPI Registry.