BIRD DOG WELLNESS
NPI 1124488085
Internal Medicine in Houston, TX

Active since March 03, 2016CLIA 45D2194618 · Accreditation
12242 QUEENSTON BLVD STE E, HOUSTON, TX 77095(713) 252-3579(800) 434-7514 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 11, 2020, Sep 11, 2018, Jul 14, 2017 and 5 more (8 updates tracked since 2016).

About Bird Dog Wellness NPPES

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

BIRD DOG WELLNESS (NPI 1124488085) is a healthcare organization registered as an internal medicine in Houston, Texas and active in the NPI registry since March 2016. The organization holds an CLIA Accreditation certificate valid through March 10, 2027, maintains 4 additional practice locations, and lists Johnny Gilbert, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124488085
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBIRD DOG PHARMA, LLC
Location Address12242 QUEENSTON BLVD STE EHouston, TX 77095-5353
Mailing Address12242 Queenston Blvd Ste EHouston, TX 77095-5353 · (713) 252-3579 · Fax (800) 434-7514
Fax(800) 434-7514
Organization SubpartNo
Authorized OfficialJohnny GilbertCeo · (713) 252-3579
Enumeration DateMarch 3, 2016
Last NPPES UpdateDecember 11, 20208 updates tracked since enumeration
NPPES CertifiedDecember 11, 2020
✔ NPI 1124488085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPhysiological LaboratoryTaxonomy 293D00000X
12242 QUEENSTON BLVD STE E, Houston, TX 77095

Other Names 1

Doing Business AsBird Dog Wellness

Secondary Practice Locations 4

Location 16301 Richmond Ave Ste 101Houston, TX 77057-5905 · Phone (713) 252-3579
Location 2128 N Salinas Blvd Ste BDonna, TX 78537-2926 · Phone (713) 252-3579
Location 37030 Bretshire DrHouston, TX 77016-3704 · Phone (713) 252-3579
Location 4101 W Village Blvd Ste ALaredo, TX 78041-2211 · Phone (713) 252-3579

Other Identifiers 2

Medicaid367518303TX
Medicaid367518301TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted 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)

Bird Dog Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Bird Dog Wellness, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 4

Internal Medicine9
Family Practice3
Nurse Practitioner3
Podiatry1

Clinicians, nearest first (16)

Internal Medicine
NPI 1184673253
23215 RED RIVER DR
Katy, TX 77494
(281) 398-2900
✔ PECOS✔ Accepts Medicare13 mi
Internal Medicine
NPI 1811939606
837 CYPRESS CREEK PKWY STE 100
Houston, TX 77090
(281) 893-8100
✔ PECOS✔ Accepts Medicare15 mi
Internal Medicine
NPI 1043218845
6301 RICHMOND AVE STE 101
Houston, TX 77057
(713) 961-7100
✔ PECOS✔ Accepts Medicare18 mi
Internal Medicine
NPI 1063424992
1302 N SHEPHERD DR
Houston, TX 77008
(713) 885-9899
✔ PECOS✔ Accepts Medicare19 mi
Internal Medicine
NPI 1336182294
3502 LIBERTY RD
Houston, TX 77026
(713) 993-6000
✔ PECOS✔ Accepts Medicare23 mi
Family Practice
NPI 1386719946
1429 HIGHWAY 6 SUITE 301
Sugar Land, TX 77478
(281) 242-6900
✔ PECOS25 mi
Podiatry
NPI 1760582647
17510 W GRAND PARKWAY SOUTH -APPOINTMENTS ONLY- SUITE 530
Sugar Land, TX 77479
(281) 342-8700
✔ PECOS✔ Accepts Medicare27 mi
Internal Medicine
NPI 1740215029
12315 EVENING BAY DR
Pearland, TX 77584
(832) 367-9620
✔ PECOS✔ Accepts Medicare31 mi
Internal Medicine
NPI 1902976483
2603 HOSPITAL DR
Victoria, TX 77901
(361) 582-5685
✔ PECOS✔ Accepts Medicare111 mi
Internal Medicine
NPI 1619133238
14345 BLANCO RD
San Antonio, TX 78216
(210) 802-7003
✔ PECOS173 mi
Family Practice
NPI 1982662029
101 W VILLAGE BLVD
Laredo, TX 78041
(956) 727-2997
✔ PECOS✔ Accepts Medicare284 mi
Family Practice
NPI 1609281930
205 E TORONTO AVE
Mcallen, TX 78503
(956) 687-6155
✔ PECOS✔ Accepts Medicare302 mi
Nurse Practitioner
NPI 1114116738
2004 E EXPRESSWAY 83
Weslaco, TX 78596
(956) 461-5375
✔ PECOS306 mi
Nurse Practitioner
NPI 1245460625
1619 4TH AVE
Canyon, TX 79015
(806) 557-4138
✔ PECOS✔ Accepts Medicare503 mi
Internal Medicine
NPI 1245262443
850 MARTIN RD
Amarillo, TX 79107
(806) 374-7341
✔ PECOS✔ Accepts Medicare510 mi
Nurse Practitioner
NPI 1912940057
29423 HIGHWAY 160
Durango, CO 81301
(970) 475-4300
✔ PECOS✔ Accepts Medicare860 mi

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 Accreditation 45D2194618

Bird Dog Pharma, LLC · Houston, TX
Active · expires Mar 10, 2027
CLIA Number45D2194618
Laboratory TypePhysician Office
Certificate Effective DateMarch 11, 2025
Certificate Expiration DateMarch 10, 2027
Laboratory DirectorHemarani Sivarajan
Laboratory Phone(713) 252-3579
Laboratory LocationBird Dog Pharma, LLC12242 Queenston Blvd, Suite E, Houston, TX 77095
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Bird Dog Pharma, LLC's NPI number?

The NPI number for Bird Dog Pharma, LLC is 1124488085. It was assigned to this organization in the NPPES registry on March 3, 2016. The provider is doing business as Bird Dog Wellness.

Where is Bird Dog Pharma, LLC located?

Bird Dog Pharma, LLC is located at 12242 Queenston Blvd Ste E, Houston, TX 77095. The listed phone number is (713) 252-3579.

What is Bird Dog Pharma, LLC's specialty?

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

Is Bird Dog Pharma, LLC enrolled in Medicare?

Yes. Bird Dog Pharma, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bird Dog Pharma, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 4 Medicare specialties reassign their Medicare billing to Bird Dog Pharma, LLC. 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. The largest specialties are Internal Medicine (9), Family Practice (3) and Nurse Practitioner (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bird Dog Pharma, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 45D2194618) is associated with this NPI, valid through March 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bird Dog Pharma, LLC accept?

Health plans from WellPoint list Bird Dog Pharma, LLC 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 Bird Dog Pharma, LLC was last updated on December 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.