Active NPI
Clear Lake Physicians, PLLC
- Nephrology Physician
- Webster, TX
National Provider Identifier
1861970758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- CLEAR LAKE PHYSICIANS, PLLC
- Practice address
- 500 W Medical Center Blvd
Webster, TX 77598-4220 - Phone
- (281) 942-8001
- Fax
- (281) 724-1919
- NPI assigned
- Aug 1, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nadia Niazi, MD
- Title
- Member / Manager
- Phone
- (646) 404-3018
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
500 W Medical Center Blvd
Webster, TX 77598-4220
Mailing address
PO Box 57907
Webster, TX 77598-7907
Phone (281) 942-8001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Webster, TX
- NPI 1801117296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617667200000",
"number": "1861970758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 57907",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775987907",
"telephone_number": "281-942-8001",
"fax_number": "281-724-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W MEDICAL CENTER BLVD",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775984220",
"telephone_number": "281-942-8001",
"fax_number": "281-724-1919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEAR LAKE PHYSICIANS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-01",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A",
"authorized_official_last_name": "NIAZI",
"authorized_official_first_name": "NADIA",
"authorized_official_title_or_position": "MEMBER / MANAGER",
"authorized_official_telephone_number": "646-404-3018",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Webster, TX
- Clear Lake Oncology PLLC
- Clear Lake Ophthalmology Clinic PLLC
- Clear Lake Oral and Maxillofacial Surgeyy, PLLC
- Clear Lake Pediatric Clinic, P.a.
- Clear Lake Pediatric Nephrology, P.a.
- Clear Lake Podiatry PLLC
- Clear Lake Primary Care PLLC
- Clear Lake Rehabilitation Hospital, LLC
- Clear Lake Surgicare, LTD
- Clear Lake Urology
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.