MEMORIAL VILLAGE SINUS AND HEARING
NPI 1184707788
Otolaryngology in Houston, TX

Active since October 24, 2006
9055 KATY FWY, SUITE 415, HOUSTON, TX 77024(281) 822-3777(281) 822-3776 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Memorial Village Sinus And Hearing NPPES

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

MEMORIAL VILLAGE SINUS AND HEARING (NPI 1184707788) is a healthcare organization registered as an otolaryngology in Houston, Texas and active in the NPI registry since October 2006. The organization lists Conrad Kyle Mccutcheon, Owner, as its authorized official.

NPPES Registry Identity

NPI1184707788
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameMEMORIAL NW OTOLARYNGOLOGY HEAD & NECK SURGERY ASSOCIATES
Location Address9055 KATY FWY, SUITE 415Houston, TX 77024-1624
Mailing Address9055 Katy Fwy, Suite 415Houston, TX 77024-1624 · (281) 822-3777 · Fax (281) 822-3776
Fax(281) 822-3776
Organization SubpartNo
Authorized OfficialConrad Kyle MccutcheonOwner · (281) 822-3777
Enumeration DateOctober 24, 2006
Last NPPES UpdateNovember 3, 2021
NPPES CertifiedNovember 3, 2021
✔ NPI 1184707788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
9055 KATY FWY, Houston, TX 77024

Other Names 2

Doing Business AsMemorial Village Sinus And Hearing
Doing Business AsMemorial Village Ent

Other Identifiers 1

Other00575UTX · Blue Cross Blue Shield

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Memorial Village Sinus And Hearing is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 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 IDO20040420000143Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Memorial Village Sinus And Hearing, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Otolaryngology
NPI 1679656250
9055 KATY FWY SUITE 415
Houston, TX 77024
(281) 822-3777
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1891968913
9055 KATY FWY SUITE 415
Houston, TX 77024
(281) 822-3777
✔ Accepts MedicareSame address

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

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 Memorial NW Otolaryngology Head & Neck Surgery Associates's NPI number?

The NPI number for Memorial NW Otolaryngology Head & Neck Surgery Associates is 1184707788. It was assigned to this organization in the NPPES registry on October 24, 2006. The provider is doing business as Memorial Village Sinus And Hearing and Memorial Village ENT.

Where is Memorial NW Otolaryngology Head & Neck Surgery Associates located?

Memorial NW Otolaryngology Head & Neck Surgery Associates is located at 9055 Katy Fwy Suite 415, Houston, TX 77024. The listed phone number is (281) 822-3777.

What is Memorial NW Otolaryngology Head & Neck Surgery Associates's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Memorial NW Otolaryngology Head & Neck Surgery Associates enrolled in Medicare?

Yes. Memorial NW Otolaryngology Head & Neck Surgery Associates is registered in the Medicare PECOS enrollment system.

When is Memorial NW Otolaryngology Head & Neck Surgery Associates's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by January 31, 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.

How many clinicians bill Medicare through Memorial NW Otolaryngology Head & Neck Surgery Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Memorial NW Otolaryngology Head & Neck Surgery Associates, in Otolaryngology and Qualified Audiologist. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Memorial NW Otolaryngology Head & Neck Surgery Associates was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.