NPIMap

Organization Active NPI

Houston Methodist St. John Hospital

Doing business as Houston Methodist Clear Lake Hospital

  • General Acute Care Hospital
  • Houston, TX
National Provider Identifier
1952723967
Registry record updated Feb 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
HOUSTON METHODIST ST. JOHN HOSPITAL
Doing business as
Houston Methodist Clear Lake Hospital
Practice address
18300 Houston Methodist Dr
Houston, TX 77058-6302
Phone
(281) 523-2000
NPI assigned
Jan 9, 2014
Last updated
Feb 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2023

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

Authorized official

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

Specialties & licenses 2

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

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 1

  • Houston Methodist Clear Lake Hospital Doing business as

Medicare participation

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

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952723967. Details of each certification follow.

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
CorporationNon-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

Care Compare: Hospital

Medicare Care Compare
Listed as
Houston Methodist Clear Lake HospitalCCN 450709 · 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
45D0492541Houston Methodist Clear Lake Hospital18300 Houston Methodist Dr, Houston, TX 77058AccreditationFeb 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
Houston Methodist St John Hospital2 organizations share this tax ID, including this one

Other organizations with this 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.

Locations

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

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

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

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

18100 Houston Methodist Dr
Ste 125
Houston, TX 77058
Phone (281) 333-8858

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

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

18300 Houston Methodist Dr
Houston, TX 77058
Phone (281) 206-9020

2020 Nasa Pkwy
Ste 100
Houston, TX 77058
Phone (281) 335-5511

2020 Nasa Pkwy
Ste 150
Houston, TX 77058
Phone (281) 333-8806

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

2220 E League City Pkwy
Ste 100
League City, TX 77573
Phone (281) 523-3400

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

Ownership & related parties

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 OfficerCeo Jan 1, 2023
W-2 Managing EmployeeCeo Jan 1, 2023
Ramon M Cantu Individual Corporate DirectorBoard Member Feb 1, 2014
Anthony C Defurio Individual Corporate DirectorBoard Member Sep 23, 2024
Heidi Reigel Individual Corporate OfficerCoo 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 DirectorBoard Member Feb 1, 2014
Edward Tyrrell Individual Corporate DirectorBoard Member Feb 1, 2014

Owners & managing parties with NPI records 9

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

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Practitioners 28

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 28

Affiliated clinicians 821

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

View all 821

NPI Registry JSON

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676678400000",
    "number": "1952723967",
    "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": "281-333-5503",
            "fax_number": "832-667-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 HOUSTON METHODIST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770586302",
            "telephone_number": "281-523-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON METHODIST ST. JOHN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2023-02-18",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-737-1121"
    },
    "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Houston Methodist Clear Lake Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Houston Methodist Clear Lake Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.