Individual provider Active NPI

Charles M Whitehead IV, MD

  • Family Medicine Physician
  • Sugar Land, TX
National Provider Identifier
1962763466
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q7302 Issued in TX
Practice address
14023 Southwest Fwy
Sugar Land, TX 77478-3550
Phone
(281) 325-4100
NPI assigned
Jun 1, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X Q7302 TX Primary

Addresses

Primary practice location

14023 Southwest Fwy
Sugar Land, TX 77478-3550

Mailing address

930 Frostwood Dr Ste 2.200
Houston, TX 77024-2450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170224000346 TX Practitioner - Family Practice 9931483641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hermann Medical GroupGroup PAC ID 7012008360, 760 clinicians

Practice addresses (Care Compare)

14023 Southwest Fwy
Sugar Land, TX 77478-3550
Phone (281) 325-4100

1801 N Loop W
Suite 30
Houston, TX 77008-1445
Phone (713) 802-9781

7600 Beechnut St
Houston, TX 77074-4302

915 Gessner Rd
Suite 100
Houston, TX 77024-2537
Phone (713) 242-2222

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610
  • Memorial Hermann Sugar Land Hospital Hospital, Sugar Land, TX, CCN 450848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Medical Group Family Medicine CurrentSince Feb 20, 2017 Accepting new patients
Memorial Hermann Health System Past Accepting new patients

Locations

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

930 Frostwood Dr
Ste 2200
Houston, TX 77024

909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

14023 Southwest Fwy
Sugar Land, TX 77478
Phone (281) 325-4100

Interoperability endpoints

  • Direct secure messaging: cwhitehead67064@memorialhermann.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1962763466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 FROSTWOOD DR STE 2.200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14023 SOUTHWEST FWY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783550",
            "telephone_number": "281-325-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "CHARLES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-01",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q7302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.