Organization Active NPI

Health & Wellness Clinic, PA

  • Family Medicine Physician
  • Katy, TX
National Provider Identifier
1851415020
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L2086 Issued in TX
Legal business name
HEALTH & WELLNESS CLINIC, PA
Practice address
23920 Katy Fwy Ste 550
Katy, TX 77494-0883
Phone
(281) 665-8498
Fax
(281) 665-8503
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
Dr. Ahmad-Rabia Sulaiman Al-Khush, M.D.NPI 1821080714
Title
President
Phone
(281) 665-8498

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X L2086 TX Primary

Addresses

Primary practice location

23920 Katy Fwy Ste 550
Katy, TX 77494-0883

Mailing address

23920 Katy Fwy Ste 550
Katy, TX 77494-0883
Phone (281) 665-8498

Other identifiers 1

IdentifierTypeStateIssuer
154488401MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101124000411 TX Part B Supplier - Clinic/Group Practice 6608062070 Receives reassigned benefits from 1 practitioner
Practice locations: Katy, TX

National Provider Directory

National Provider Directory

Locations

705 S Fry Rd
Ste 225
Katy, TX 77450
Phone (281) 492-7062

23920 Katy Fwy
Ste 550
Katy, TX 77494
Phone (281) 371-3338

Practitioners & affiliated clinicians

Practitioners 1

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": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1851415020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23920 KATY FWY STE 550",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774940883",
            "telephone_number": "281-665-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23920 KATY FWY STE 550",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774940883",
            "telephone_number": "281-665-8498",
            "fax_number": "281-665-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH & WELLNESS CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "AL-KHUSH",
        "authorized_official_first_name": "AHMAD-RABIA",
        "authorized_official_middle_name": "SULAIMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-665-8498",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L2086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154488401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.