EAGLE'S TRACE MEDICAL CENTER
NPI 1285654079
Internal Medicine in Houston, TX
About Eagle's Trace Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAGLE'S TRACE MEDICAL CENTER (NPI 1285654079) is a healthcare organization registered as an internal medicine in Houston, Texas and active in the NPI registry since July 2006. The organization lists Mary Norman, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 9
Other Names 1
Other Identifiers 3
Group Practice 1
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)
Eagle's Trace Medical Center 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.
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Eagle's Trace Medical Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (15)
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 Erickson Health Medical Group Of Texas PA's NPI number?
The NPI number for Erickson Health Medical Group Of Texas PA is 1285654079. It was assigned to this organization in the NPPES registry on July 21, 2006. The provider is also known as Eagle's Trace Medical Center.
Where is Erickson Health Medical Group Of Texas PA located?
Erickson Health Medical Group Of Texas PA is located at 14703 Eagle Vista Dr, Houston, TX 77077. The listed phone number is (281) 249-7100.
What is Erickson Health Medical Group Of Texas PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Erickson Health Medical Group Of Texas PA enrolled in Medicare?
Yes. Erickson Health Medical Group Of Texas PA is registered in the Medicare PECOS enrollment system.
When is Erickson Health Medical Group Of Texas 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 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 Erickson Health Medical Group Of Texas PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 6 Medicare specialties reassign their Medicare billing to Erickson Health Medical Group Of Texas 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. The largest specialties are Internal Medicine (6), Nurse Practitioner (3) and Clinical Social Worker (2). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Erickson Health Medical Group Of Texas PA was last updated on December 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Eagle's Trace Medical Center · NPI 1285654079
Internal Medicine organization in Houston, Texas. Organization record, active in the CMS NPPES registry since July 21, 2006.
## Identity
- **NPI:** 1285654079 (Entity type: Organization)
- **Enumerated:** July 21, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Erickson Health Medical Group Of Texas Pa
- **Organization subpart:** No
- **Authorized official:** Mary Norman, PRESIDENT
## Practice location
- **Address:** 14703 EAGLE VISTA DR, Houston, TX 77077-5275
- **Phone:** (281) 249-7100 · **Fax:** (281) 249-7365
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 15 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (6), Nurse Practitioner (3), Clinical Social Worker (2); 1 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 8, 2022
- **Other identifiers:** Other 0089EP; Other 8AS969; Other 0093NP
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Source: [NPI Profile](https://npiprofile.com/npi/1285654079) · Data from the CMS NPPES public registry.