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HOUSTON CARDIAC ASSOCIATION, PA
NPI 1023221876
Internal Medicine - Cardiovascular Disease in Houston, TX

Active since May 08, 2007CLIA 45D0980096 · Waiver
10480 MAIN ST, HOUSTON, TX 77025(713) 599-1144(713) 599-1199 Get Directions Write a Review

NPPES record last updated: March 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Houston Cardiac Association, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOUSTON CARDIAC ASSOCIATION, PA (NPI 1023221876) is a healthcare organization registered as a cardiovascular disease in Houston, Texas and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through November 12, 2026 and lists Baxter Delworth Montgomery, Physician/executive Director, as its authorized official.

NPPES Registry Identity

NPI1023221876
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameHOUSTON CARDIAC ASSOCIATION, PA
Location Address10480 MAIN STHouston, TX 77025-5500
Mailing Address10480 Main StHouston, TX 77025-5500 · (713) 599-1144 · Fax (713) 599-1199
Phone(713) 599-1144
Fax(713) 599-1199
Organization SubpartNo
Authorized OfficialBaxter Delworth MontgomeryPhysician/executive Director · (713) 599-1144
Enumeration DateMay 8, 2007
Last NPPES UpdateMarch 16, 2012
✔ NPI 1023221876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in TX · H9549
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
10480 MAIN ST, Houston, TX 77025
Open in Google Maps ↗

Other Identifiers 11

Medicare PIN060052268TX
Other10018324TX · Amerigroup
Other85680FTX · Bcbs Of Texas
Medicare ID-Type Unspecified0069BRTX · Medicare Group Number
Medicaid081027701TX
Medicare PIN060052268GA
Medicaid132190301TX
Medicare UPINF87839TX
Medicare PIN85680FTX
Other5034595TX · Aetna
Medicare ID-Type Unspecified060052268TX · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0980096

Houston Cardiac Association · Houston, TX
Active · expires Nov 12, 2026
CLIA Number45D0980096
Laboratory TypePhysician Office
Certificate Effective DateNovember 13, 2024
Certificate Expiration DateNovember 12, 2026
Laboratory DirectorBaxter D. Montgomery MD
Laboratory Phone(713) 599-1144
Laboratory LocationHouston Cardiac AssociationP O Box 20808, Houston, TX 77225
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FARIHA MAHMOOD
Physician Assistant
10480 MAIN ST
HOUSTON, TX 77025
Harris County (713) 599-1144
ALLISON ISABEL RADCLIFF PA-C
Physician Assistant (Medical)
10480 MAIN ST
HOUSTON, TX 77025
Harris County (713) 599-1144
ALELYN AQUINO ROSENBLATT
Nurse Practitioner (Family)
10480 MAIN ST
HOUSTON, TX 77025
Harris County (713) 599-1144
CAMILLE OWENS PA-C
Physician Assistant
10480 MAIN ST
HOUSTON, TX 77025
Harris County (713) 599-1144

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Houston Cardiac Association, PA's NPI number?

The NPI number for Houston Cardiac Association, PA is 1023221876. It was assigned to this organization in the NPPES registry on May 8, 2007.

Where is Houston Cardiac Association, PA located?

Houston Cardiac Association, PA is located at 10480 Main St, Houston, TX 77025. The listed phone number is (713) 599-1144.

What is Houston Cardiac Association, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Houston Cardiac Association, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0980096) is associated with this NPI, valid through November 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Houston Cardiac Association, PA was last updated on March 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.