BELLAIRE ER
NPI 1104199017
Clinic/Center - Emergency Care in Bellaire, TX

NPI Status: Active since February 23, 2012

Contact Information

5302 BELLAIRE BLVD.
BELLAIRE, TX
ZIP 77401
Phone: (713) 660-0001

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  • Organization
  • Clinic/Center
  • Emergency Care
  • CLIA Number: 45D2323785
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-12-2027

About BELLAIRE ER

This page provides the complete NPI Profile along with additional information for Bellaire Er, a provider established in Bellaire, Texas operating as a Clinic/center, focusing in emergency care . The healthcare provider is registered in the NPI registry with number 1104199017 assigned on February 2012. The practitioner's primary taxonomy code is 261QE0002X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Bellaire Er. The authorized official of this NPI record is Mario A. Quintanilla Md (Physician)

NPI
1104199017
Provider Legal Name
WEST GRAY PROPERTIES LLC
Other Organization Name
BELLAIRE ER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5302 BELLAIRE BLVD. BELLAIRE, TX 77401
Location Phone
(713) 660-0001
Mailing Address
5302 BELLAIRE BLVD. BELLAIRE, TX 77401
Mailing Phone
(713) 660-0001
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-23-2012
Last Update Date
08-13-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Emergency Care

Taxonomy Code
261QE0002X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARIO A. QUINTANILLA MD

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(713) 660-0001

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2323785
Facility Type
Physician Office
Certificate Effective Date
May 13, 2025
Certificate Expiration Date
May 12, 2027
Laboratory Director
ERIC S. BLACHER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bellaire Er to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104199017, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 2 + 9 + 1 + 8 + 0 + 2 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1104199017.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104199017, enumerated as an "organization" on February 23, 2012.

The provider is located at 5302 BELLAIRE BLVD. BELLAIRE, TX 77401 and the phone number is (713) 660-0001.

Clinic/Center with taxonomy code 261QE0002X and a focus in Emergency Care.