THEORY HEALTH MEDICAL PA
NPI 1114798782
Internal Medicine in Lake Jackson, TX

Q: What is Theory Health Medical PA's NPI number?

The NPI number for Theory Health Medical PA is 1114798782. It was assigned to this organization in the NPPES registry on January 12, 2024.

Q: What is Theory Health Medical PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since January 12, 2024CLIA 45D2323218 · Waiver

135 OYSTER CREEK DR STE E, LAKE JACKSON, TX 77566(979) 266-9401 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Theory Health Medical Pa NPPES

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

THEORY HEALTH MEDICAL PA (NPI 1114798782) is a healthcare organization registered as an internal medicine in Lake Jackson, Texas and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through May 1, 2027 and lists Jeevan C Gowda, Physican, as its authorized official.

NPPES Registry Identity

NPI1114798782

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameTHEORY HEALTH MEDICAL PA

Location Address135 OYSTER CREEK DR STE ELake Jackson, TX 77566-4119

Mailing Address135 Oyster Creek Dr Ste ELake Jackson, TX 77566-4119 · (979) 266-9401

Phone(979) 266-9401

Organization SubpartNo

Authorized OfficialJeevan C GowdaPhysican · (313) 980-2199

Enumeration DateJanuary 12, 2024

Last NPPES UpdateJanuary 18, 2024

NPPES CertifiedJanuary 18, 2024

✔ NPI 1114798782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

135 OYSTER CREEK DR STE E, Lake Jackson, TX 77566

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Other Names 1

Doing Business AsTheory Health Medical Pa

Other Identifiers 1

Medicaid1881862027TX

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theory Health Medical Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Theory Health Medical PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeevan Gowda, MD

Internal Medicine

NPI 1881862027

135 OYSTER CREEK DR STE E
Lake Jackson, TX 77566

(979) 297-3387

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 45D2323218

Theory Health Medical PA · Lake Jackson, TX

Active · expires May 1, 2027

CLIA Number45D2323218

Laboratory TypePhysician Office

Certificate Effective DateMay 2, 2025

Certificate Expiration DateMay 1, 2027

Laboratory DirectorJeevan C. Gowda

Laboratory Phone(979) 266-9401

Laboratory LocationTheory Health Medical PA135 Oyster Creek Drive Suite E, Lake Jackson, TX 77566

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Theory Health Medical PA's NPI number?

The NPI number for Theory Health Medical PA is 1114798782. It was assigned to this organization in the NPPES registry on January 12, 2024.

Where is Theory Health Medical PA located?

Theory Health Medical PA is located at 135 Oyster Creek Dr Ste E, Lake Jackson, TX 77566. The listed phone number is (979) 266-9401.

What is Theory Health Medical PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Theory Health Medical PA enrolled in Medicare?

Yes. Theory Health Medical PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Theory Health Medical PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Theory Health Medical PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Theory Health Medical PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2323218) is associated with this NPI, valid through May 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Theory Health Medical PA accept?

Health plans from Blue Cross and Blue Shield of Texas list Theory Health Medical PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theory Health Medical PA was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.