Excellence Emergency Hospital LLC
Organization Active NPI General Acute Care Hospital · Houston, TX
NPI 1972258580 · NPPES record last updated Oct 4, 2022
Key facts
- NPI
- 1972258580
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- EXCELLENCE EMERGENCY HOSPITAL LLC
- Practice address
- 15149 Wallisville Road
Houston, TX 77049 - Phone
- (281) 864-0448
- NPI assigned
- Feb 14, 2022
- Organization subpart
- No
Authorized official
- Name
- Inam Khan
- Title
- Coo
- Phone
- (832) 457-4920
Corporate family (same tax ID) 1
Practitioners 1
-
Kashif H Ansari, M.D.
Affiliated clinicians 32
-
Asad Abbas, M.D.
-
Mai Abouelsaad, M.D.
-
Farrah Ali, NP
-
Darshan P Anandu, M.D.
-
William Fernando Buitrago, M.D., PH.D.
-
Yiu-Hei Ching, MD
-
Jawad Chohan, MD
-
Mohammed A Farooqui, DPM
-
Jacob Fisher, MD
-
Dalton A Foster, M.D.
-
Rajpaul Ganesh, DO
-
Gultasib Khan Gill, M.D.
-
Adriano Enrico Goffi, M.D.
-
Srinivasa Gurram, M.D
-
Hussein A Hussein, M.D.
-
Shariq Khan, M.D.
-
Mary Catharine Maxian, M.D.
-
Muhammad Ahmad Mujtaba, M.D.
-
Daniel Dat Nguyen, D.O.
-
Amir Abdur Rasheed, M.D.
Medicare Care Compare: Hospital
- Listed as
- East Houston Medical Center
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Hospital certification: CCN 670320
- Legal name
- EXCELLENCE EMERGENCY HOSPITAL LLC
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jun 2, 2023
- Last certification
- Jun 2, 2023
- Beds
- 4
- Ownership / control type
- Private (for profit)
- Organization structure
- LLC · Proprietary
- Enrollment address
- 15149 Wallisville Rd
Houston, TX 77049-4619 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Excellence Emergency Hospital LLC |
5% Or Greater Direct Ownership Interest | Apr 26, 2019 | 100% |
| Inam Khan |
W-2 Managing Employee |
Jul 26, 2022 | 100% |
| Kashif H Ansari |
5% Or Greater Direct Ownership Interest |
Apr 26, 2019 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220914003774 | TX | Part a Provider - Hospital | 1850776667 | Practice locations: Houston, TX |
National Provider Directory
- Tax ID family
- East Houston Medical Center PLLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
15149 Wallisville Road
Houston, TX 77049
Mailing address
15149 Wallisville Road
Houston, TX 77049
Other names
- East Houston Medical Center PLLC
Other providers in Houston, TX
- Excel Pharmacy Inc.
- Excell Health System Corp
- Excell Pediatrics
- Excell Surgical Assistants Management PLLC
- Excellence Clinic of Texas, PLLC
- Excellence Emergency Hospital Physician PLLC
- Excellence HHS LLC
- Excellence Hospital of Texas PLLC
- Excellence in Rheumatology, PA
- Excellence Speciality Clinic PLLC
All providers in Houston, TX · General Acute Care Hospital in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2022. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.