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Houston Methodist St. John Hospital

Organization Active NPI General Acute Care Hospital · Houston, TX

NPI 1952723967 · NPPES record last updated Feb 18, 2023

Key facts

NPI
1952723967
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
Legal business name
HOUSTON METHODIST ST. JOHN HOSPITAL
Practice address
18300 Houston Methodist Dr
Houston, TX 77058-6302
Phone
(281) 523-2000
NPI assigned
Jan 9, 2014
Organization subpart
No

Authorized official

Name
Carl Little
Title
Ceo
Phone
(281) 737-1121

Owners & managing parties with NPI records 9

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

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

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

Facilities with the same owner 8

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

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 28

Affiliated clinicians 821

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

View all 821

Medicare Care Compare: Hospital

Listed as
Houston Methodist Clear Lake Hospital CCN 450709
Overall star rating
★★★★★ 5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0492541Houston Methodist Clear Lake Hospital
18300 Houston Methodist Dr, Houston, TX 77058		AccreditationFeb 8, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Hospital certification: CCN 450709

Legal name
HOUSTON METHODIST ST. JOHN HOSPITAL
Doing business as
HOUSTON METHODIST CLEAR LAKE HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Dec 1, 1981
Last certification
Nov 12, 2020
Beds
178
Ownership / control type
Private (not for profit)
Most recent change of ownership
Feb 1, 2014 (2 total)
Organization structure
Corporation · Non-profit
Incorporated
Dec 17, 2013 in TX
Enrollment address
18300 Houston Methodist Dr
Houston, TX 77058-6302
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Short-term

All disclosed owners & managing parties 9

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 		Operational/Managerial Control Feb 1, 2014 100%
Other Feb 1, 2014 100%
TMH Health Care Group
Organization · Houston, TX
Corporation 		5% Or Greater Indirect Ownership Interest Feb 1, 2014
Carl Little
Individual 		Corporate Officer
Ceo		 Jan 1, 2023
W-2 Managing Employee
Ceo		 Jan 1, 2023
Ramon M Cantu
Individual 		Corporate Director
Board Member		 Feb 1, 2014
Anthony C Defurio
Individual 		Corporate Director
Board Member		 Sep 23, 2024
Heidi Reigel
Individual 		Corporate Officer
Coo		 Jan 7, 2019
Methodist Health Centers
Organization · Sugar Land, TX
Corporation 		5% Or Greater Direct Ownership Interest Feb 1, 2014
Marc L Boom
Individual 		Corporate Director
Board Member		 Feb 1, 2014
Edward Tyrrell
Individual 		Corporate Director
Board Member		 Feb 1, 2014

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20140421000767 TX Part a Provider - Hospital 1658503917 Practice locations: Texas City, TX; Friendswood, TX; Pasadena, TX; League City, TX; Houston, TX; Deer Park, TX

National Provider Directory

Tax ID family
Houston Methodist St John Hospital (2 organizations share this tax ID)

Locations

2401 FM 646 Rd W
Ste D
Dickinson, TX 77539
Phone (281) 337-1810

505 S Friendswood Dr
Ste 101
Friendswood, TX 77546
Phone (281) 648-4250

415 E Parkwood Ave
#528
Friendswood, TX 77546
Phone (281) 648-4250

18123 Upper Bay Rd
Ste 110
Houston, TX 77058
Phone (281) 333-8806

2020 Nasa Pkwy
Ste 180
Houston, TX 77058
Phone (281) 523-3355

18100 Houston Methodist Dr
Ste 250
Houston, TX 77058
Phone (281) 523-3031

14903 El Camino Real
Ste B
Houston, TX 77062
Phone (281) 363-7640

18100 Houston Methodist Dr
Ste 100
Houston, TX 77058
Phone (281) 333-8806

1309 W Fairmont Pkwy
Ste H
La Porte, TX 77571
Phone (281) 867-1852

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

3201 Palmer Hwy
Texas City, TX 77590
Phone (409) 945-4246

Specialties & licenses

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

Addresses

Primary practice location

18300 Houston Methodist Dr
Houston, TX 77058-6302

Mailing address

PO Box 4755
Houston, TX 77210-4755
Phone (281) 333-5503

Other names

  • Houston Methodist Clear Lake Hospital Doing business as

Other providers in Houston, TX

All providers in Houston, TX · General Acute Care Hospital in Texas

Sources for this page

Verify at the official NPI Registry.