SOUTH MAIN CLINIC, INC
NPI 1326068933
Legal Medicine in Houston, TX

Active since July 20, 2006CLIA 45D1038312 · Waiver
12333 MAIN ST, HOUSTON, TX 77035(713) 729-7600(713) 729-7603 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About South Main Clinic, Inc NPPES

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

SOUTH MAIN CLINIC, INC (NPI 1326068933) is a healthcare organization registered as a legal medicine in Houston, Texas and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 15, 2027 and lists Alvaro Pinilla, President Owner, as its authorized official.

NPPES Registry Identity

NPI1326068933
Entity TypeOrganization
Primary Taxonomy173000000X
Legal Business NameSOUTH MAIN CLINIC, INC
Location Address12333 MAIN STHouston, TX 77035-6205
Mailing Address12333 Main StHouston, TX 77035-6205 · (713) 729-7600 · Fax (713) 729-7603
Fax(713) 729-7603
Organization SubpartNo
Authorized OfficialAlvaro PinillaPresident Owner · (713) 729-7600
Enumeration DateJuly 20, 2006
Last NPPES UpdateApril 20, 2008
✔ NPI 1326068933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLegal MedicineOther Service Providers
Taxonomy Code173000000X
Definition
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
Also ListedGeneral PracticeTaxonomy 208D00000X
12333 MAIN ST, Houston, TX 77035

Other Identifiers 3

Medicare ID-Type Unspecified00288YTX · Group
Other0087MGTX · Bcbs
Other1427078674TX · Dr. Montgomery Npi

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)

South Main Clinic, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to South Main Clinic, Inc, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Emergency Medicine
NPI 1003263468
1504 TAUB LOOP EMERGENCY CENTER
Houston, TX 77030
(713) 873-7045
✔ PECOS✔ Accepts Medicare5.9 mi
Emergency Medicine
NPI 1306194329
1313 HERMANN DR
Houston, TX 77004
(281) 753-5509
✔ PECOS6.8 mi
Internal Medicine
NPI 1649491648
5535 MEMORIAL DR F501
Houston, TX 77007
(713) 805-5870
✔ PECOS8.2 mi
Hospitalist
NPI 1568463891
3918 LEELAND ST.
Houston, TX 77003
(713) 528-3400
✔ PECOS✔ Accepts Medicare9.4 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 Waiver 45D1038312

South Main Clinic · Houston, TX
Active · expires Mar 15, 2027
CLIA Number45D1038312
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateMarch 16, 2025
Certificate Expiration DateMarch 15, 2027
Laboratory DirectorDr. Danielle Brown
Laboratory Phone(713) 729-7600
Laboratory LocationSouth Main Clinic12333 Main St, Houston, TX 77035
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 South Main Clinic, Inc's NPI number?

The NPI number for South Main Clinic, Inc is 1326068933. It was assigned to this organization in the NPPES registry on July 20, 2006.

Where is South Main Clinic, Inc located?

South Main Clinic, Inc is located at 12333 Main St, Houston, TX 77035. The listed phone number is (713) 729-7600.

What is South Main Clinic, Inc's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

Is South Main Clinic, Inc enrolled in Medicare?

Yes. South Main Clinic, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Main Clinic, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to South Main Clinic, Inc, in Emergency Medicine, Hospitalist and Internal Medicine. 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, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does South Main Clinic, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1038312) is associated with this NPI, valid through March 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Main Clinic, Inc accept?

Health plans from WellPoint list South Main Clinic, Inc 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 South Main Clinic, Inc was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.