NPIMap

Organization Active NPI

San Jacinto Methodist Hospital

Doing business as Houston Methodist Baytown Hospital

  • General Acute Care Hospital
  • Baytown, TX
National Provider Identifier
1891789772
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
000405 Issued in TX
Legal business name
SAN JACINTO METHODIST HOSPITAL
Doing business as
Houston Methodist Baytown Hospital
Practice address
4401 Garth Rd
Baytown, TX 77521-2122
Phone
(281) 420-8600
Fax
(281) 420-8852
NPI assigned
Sep 7, 2005
Last updated
Jul 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Authorized official

Name
David Bernard
Title
Ceo
Phone
(281) 420-8600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X
General Acute Care Hospital 282N00000X 000405 TX Primary

Addresses

Primary practice location

4401 Garth Rd
Baytown, TX 77521-2122

Mailing address

PO Box 4755
Houston, TX 77210-4755
Phone (832) 522-7574

Other names 1

  • HOUSTON METHODIST BAYTOWN HOSPITAL Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061110000240 TX Part A Provider - Hospital 8527032929 Practice locations: Baytown, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891789772. Details of each certification follow.

Hospital certification: CCN 450424

Legal name
SAN JACINTO METHODIST HOSPITAL
Doing business as
HOUSTON METHODIST BAYTOWN HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 8, 2022
Beds
230
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Apr 4, 1963 in TX
Enrollment address
4401 Garth Rd
Baytown, TX 77521-2122
Main/Primary Hospital Location
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Houston Methodist Baytown HospitalCCN 450424 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0496588Houston Methodist Baytown Hospital4401 Garth Rd, Baytown, TX 77521AccreditationFeb 8, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
The Methodist Hospital Organization, Houston, TX Non-profit 5% Or Greater Indirect Ownership Interest Apr 4, 1966
Operational/Managerial Control Apr 4, 1966 100%
TMH Health Care Group Organization, Houston, TX Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1984 100%
W Benjamin Moreland Individual Corporate DirectorBoard Member Feb 1, 2019
Adrienne Joseph Individual Corporate OfficerCeo Jan 1, 2024
W-2 Managing Employee Jan 1, 2024
Gilbert Anthony Santana Individual Corporate DirectorBoard Member Feb 1, 2020
Marc L Boom Individual Corporate DirectorBoard Member Feb 1, 2012
Gregory V Nelson Individual Corporate DirectorBoard Member Feb 1, 1986
Jared Lewis Individual Corporate OfficerDirector of Operations May 21, 2023
W-2 Managing Employee May 21, 2023

Owners & managing parties with NPI records 4

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

  • Marc Boom, M.D.
    • Internal Medicine Physician
    • Houston, TX
    • NPI 1740210046

    Corporate Director

    CMS ownership
  • The Methodist Hospital

    dba Houston Methodist Pharmacy

    • Community/Retail Pharmacy
    • Houston, TX
    • NPI 1073112272

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • The Methodist Hospital

    dba Houston Methodist Hospital

    • General Acute Care Hospital
    • Houston, TX
    • NPI 1548387418

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • The Methodist Hospital

    dba Houston Methodist Pharmacy

    • Community/Retail Pharmacy
    • Houston, TX
    • NPI 1801208665

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 62

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 62

Affiliated clinicians 643

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

View all 643

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1891789772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4755",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104755",
            "telephone_number": "832-522-7574",
            "fax_number": "832-667-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212122",
            "telephone_number": "281-420-8600",
            "fax_number": "281-420-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JACINTO METHODIST HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-420-8600"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "000405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOUSTON METHODIST BAYTOWN HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.