PEARLAND DIAGNOSTIC CLINIC, PA
NPI 1194970756
Clinic/Center - Primary Care in Pearland, TX
About Pearland Diagnostic Clinic, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEARLAND DIAGNOSTIC CLINIC, PA (NPI 1194970756) is a healthcare organization registered as a primary care in Pearland, Texas and active in the NPI registry since November 2008. The organization lists Joseph H Roosth, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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)
Pearland Diagnostic Clinic, Pa 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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Pearland Diagnostic Clinic, PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Pearland Diagnostic Clinic, PA's NPI number?
The NPI number for Pearland Diagnostic Clinic, PA is 1194970756. It was assigned to this organization in the NPPES registry on November 24, 2008.
Where is Pearland Diagnostic Clinic, PA located?
Pearland Diagnostic Clinic, PA is located at 1834 Broadway St Suite 102, Pearland, TX 77581. The listed phone number is (281) 997-8181.
What is Pearland Diagnostic Clinic, PA's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Pearland Diagnostic Clinic, PA enrolled in Medicare?
Yes. Pearland Diagnostic Clinic, PA is registered in the Medicare PECOS enrollment system.
When is Pearland Diagnostic Clinic, PA'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 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.
How many clinicians bill Medicare through Pearland Diagnostic Clinic, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Pearland Diagnostic Clinic, 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.
When was this NPI record last updated?
The NPPES record for Pearland Diagnostic Clinic, PA was last updated on June 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Pearland Diagnostic Clinic, Pa · NPI 1194970756
Primary Care organization in Pearland, Texas. Organization record, active in the CMS NPPES registry since November 24, 2008.
## Identity
- **NPI:** 1194970756 (Entity type: Organization)
- **Enumerated:** November 24, 2008
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Joseph Roosth, OWNER
## Practice location
- **Address:** 1834 BROADWAY ST, SUITE 102, Pearland, TX 77581-5668
- **Phone:** (281) 997-8181 · **Fax:** (281) 997-8184
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 19, 2012
- **Other identifiers:** Medicare UPIN E59110 (TX); Medicare PIN 00K97U (TX); Medicaid 128481204 (TX)
---
Source: [NPI Profile](https://npiprofile.com/npi/1194970756) · Data from the CMS NPPES public registry.