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CHCA BAYSHORE LP
NPI 1174576698
General Acute Care Hospital in Pasadena, TX

Active since May 18, 2006
4000 SPENCER HWY, PASADENA, TX 77504(713) 359-1000(713) 359-1004 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 5, 2025, May 16, 2025, Nov 8, 2023 and 6 more (9 updates tracked since 2016).

About Chca Bayshore Lp NPPES

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

CHCA BAYSHORE LP (NPI 1174576698), doing business as Bayshore Medical Center, is a healthcare organization registered as a general acute care hospital in Pasadena, Texas and active in the NPI registry since May 2006. The organization lists Demetri Magoulas, Cfo, as its authorized official.

NPPES Registry Identity

NPI1174576698
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameCHCA BAYSHORE LP
Location Address4000 SPENCER HWYPasadena, TX 77504-1202
Mailing Address4000 Spencer HwyPasadena, TX 77504-1202 · (713) 359-1000 · Fax (713) 359-1004
Phone(713) 359-1000
Fax(713) 359-1004
Organization SubpartNo
Authorized OfficialDemetri MagoulasCfo · (281) 440-1000
Enumeration DateMay 18, 2006
Last NPPES UpdateNovember 5, 20259 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
✔ NPI 1174576698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
Also ListedClinic/Center · Ambulatory SurgicalTaxonomy 261QA1903X
4000 SPENCER HWY, Pasadena, TX 77504
Open in Google Maps ↗

Other Names 4

Doing Business AsBayshore Medical Center
Doing Business AsHca Houston Healthcare Southeast
Other NameHca Houston Southeast
Other NameHcah Southeast

Other Identifiers 5

Other374018500Us Dept Labor
Other564889Healthlink
OtherHH0541TX · Bcbs
Medicaid020817501TX
Other117736Aetna Hmo

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chca Bayshore Lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20031118000301Part A · HospitalDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 20

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

JOHN EDWARD COVINGTON CRNA
Nurse Anesthetist, Certified Registered
4000 SPENCER HWY
PASADENA, TX 77504
Harris County (504) 473-2580
ADRIANA J QUINTANA CRNA
Nurse Anesthetist, Certified Registered
4000 SPENCER HWY
PASADENA, TX 77504
Harris County (713) 359-2000
COREY H ANDERSON M.D.
Emergency Medicine
4000 SPENCER HWY
PASADENA, TX 77504
Harris County (713) 359-2000
MR. MARIO ALBERTO RODRIGUEZ JR. AGACNP
Nurse Practitioner (Critical Care Medicine)
4000 SPENCER HWY
PASADENA, TX 77504
Harris County (713) 359-2000
MISTY MILNER CRNA
Nurse Anesthetist, Certified Registered
4000 SPENCER HWY
PASADENA, TX 77504
Harris County (713) 359-2000
DUSTIN RAY DORFLINGER AGACNP-BC
Nurse Practitioner (Acute Care)
4000 SPENCER HWY
PASADENA, TX 77504
Harris County (832) 341-5751
DR. REAGAN M POLAND M.D.
Anesthesiology
4000 SPENCER HWY
PASADENA, TX 77504
Harris County (713) 359-2000
DR. ERNESTO M JUAREZ JR. D.O.
Emergency Medicine
4000 SPENCER HWY
PASADENA, TX 77504
Harris County (713) 359-2000

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 Chca Bayshore LP's NPI number?

The NPI number for Chca Bayshore LP is 1174576698. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Bayshore Medical Center and HCA Houston Healthcare Southeast. The provider is also known as HCA Houston Southeast and HCAH Southeast.

Where is Chca Bayshore LP located?

Chca Bayshore LP is located at 4000 Spencer Hwy, Pasadena, TX 77504. The listed phone number is (713) 359-1000.

What is Chca Bayshore LP's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Chca Bayshore LP enrolled in Medicare?

Yes. Chca Bayshore LP is registered in the Medicare PECOS enrollment system.

When is Chca Bayshore LP's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Texas, Hospital) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Chca Bayshore LP accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Chca Bayshore LP 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 Chca Bayshore LP was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.