Active NPI
Doctors Hospital 1997 LP
- General Acute Care Hospital
- Houston, TX
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(7) exclusion effective Dec 14, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- DOCTORS HOSPITAL 1997 LP
- Practice address
- 510 W. Tidwell Rd
Houston, TX 77091-4339 - Phone
- (281) 618-8500
- Fax
- (281) 618-8636
- NPI assigned
- May 25, 2006
- 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
- Farida Moeen
- Title
- Ceo
- Phone
- (281) 618-8505
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | |||
| General Acute Care Hospital | 282N00000X | TX | Primary |
Addresses
Primary practice location
510 W. Tidwell Rd
Houston, TX 77091-4339
Mailing address
PO Box 4346
Dept 198
Houston, TX 77210-4346
Phone (281) 618-8500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112727603 | Medicaid | TX |
Other names 1
- United Memorial Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Hospital certification: CCN 450803
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- UNITED MEMORIAL MEDICAL CENTER
- Certification status
- Terminated Involuntary: failure to meet health/safety requirements, Jan 11, 2022
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jan 24, 1995
- Last certification
- May 14, 2021
- Beds
- 117
- Ownership / control type
- Private (for profit)
- Facility address
- 510 W Tidwell
Houston, TX 77091
National Provider Directory
National Provider DirectoryLocations
509 W Tidwell Rd
Ste 310
Houston, TX 77091
Phone (713) 691-0432
509 W Tidwell Rd
Ste 180
Houston, TX 77091
Phone (713) 691-3649
837 Cypress Creek Pkwy
Ste 105B
Houston, TX 77090
Phone (832) 626-0707
5135 Aldine Mail Rte
Ste 200
Houston, TX 77039
Phone (281) 442-2371
509 W Tidwell Rd
Ste 305
Houston, TX 77091
Phone (713) 691-1183
509 W Tidwell Rd
Ste 301
Houston, TX 77091
Phone (713) 515-2051
511A W Tidwell Rd
Houston, TX 77091
Phone (713) 694-9709
509 W Tidwell Rd
Ste 160
Houston, TX 77091
Phone (281) 447-5570
20635 Kuykendahl Rd
Ste B
Spring, TX 77379
Phone (832) 844-3746
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Houston, TX
- NPI 1376661009
-
- Hematology & Oncology Physician
- Humble, TX
- NPI 1396703310
-
- Pediatrics Physician
- Houston, TX
- NPI 1639159148
-
- Advanced Practice Midwife
- Houston, TX
- NPI 1336164722
-
- Women's Health Nurse Practitioner
- Houston, TX
- NPI 1699836700
-
- Women's Health Nurse Practitioner
- Modesto, CA
- NPI 1457470148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1446163200000",
"number": "1891741468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4346",
"address_2": "DEPT 198",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772104346",
"telephone_number": "281-618-8500",
"fax_number": "281-618-8636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 W. TIDWELL RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770914339",
"telephone_number": "281-618-8500",
"fax_number": "281-618-8636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOCTORS HOSPITAL 1997 LP",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-25",
"last_updated": "2015-10-30",
"status": "A",
"authorized_official_last_name": "MOEEN",
"authorized_official_first_name": "FARIDA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "281-618-8505"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112727603",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "United Memorial Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.