Clear Lake Cardiology PLLC
Organization Active NPI Cardiovascular Disease Physician · Webster, TX
NPI 1902254451 · NPPES record last updated Jul 5, 2024
Key facts
- NPI
- 1902254451
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- CLEAR LAKE CARDIOLOGY PLLC
- Practice address
- 600 N Kobayashi Ste 311
Webster, TX 77598-4841 - Phone
- (281) 724-4711
- NPI assigned
- May 25, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Mohammad J Baba, MD
- Title
- Owner
- Phone
- (281) 724-4711
Member of 1
Practitioners 15
-
Kirsten Joy Carlson, AGNP
-
Briana Faith Haney, NP-C
-
Molham Aldeiri, M.D
-
David Hamer, MD
-
Kelly Marie Jones, AGACNP-BC
-
Khurrum Khan, M.D.
-
Jennifer Rosales Landicho, AGACNP-BC
-
Vijaiganesh Nagarajan, MBBS, MD
-
Ghyath Samman, M.D.
-
Maria Martinez Ybanez, AGACNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160802002252 | TX | Part B Supplier - Clinic/Group Practice | 0446544282 |
Receives reassigned benefits from 4 practitioners Practice locations: Webster, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | TX | Yes |
Addresses
Primary practice location
600 N Kobayashi Ste 311
Webster, TX 77598-4841
Mailing address
PO Box 58794
Webster, TX 77598-8794
Phone (281) 724-4711
Other providers in Webster, TX
- Lauren Claunch
- Chad C Clause
- Clear Lake Anesthesia Services
- Clear Lake Brain and Spine
- Clear Lake Cardiology Associates
- Clear Lake Cardiovascular Care PA
- Clear Lake Children'S Center
- Clear Lake Dermatology, PLLC
- Clear Lake Eye Center
- Clear Lake Eye Center PLLC
All providers in Webster, TX · Cardiovascular Disease Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.