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MOUNT CARMEL MEDICAL CLINIC PLLC
NPI 1376161075
Clinic/Center - Primary Care in Houston, TX

Active since July 09, 2020CLIA Certified · 2 labs
11230 AIRLINE DR STE#1, HOUSTON, TX 77037(832) 810-9521(855) 703-1949 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 13, 2022, Nov 29, 2022, Oct 31, 2022 and 4 more (7 updates tracked since 2020).

About Mount Carmel Medical Clinic Pllc NPPES

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

MOUNT CARMEL MEDICAL CLINIC PLLC (NPI 1376161075) is a healthcare organization registered as a primary care in Houston, Texas and active in the NPI registry since July 2020. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Missouri City, and lists Blessy S Jacob, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1376161075
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMOUNT CARMEL MEDICAL CLINIC PLLC
Location Address11230 AIRLINE DR STE#1Houston, TX 77037-1116
Mailing Address11230 Airline Dr Ste#1Houston, TX 77037-1116 · (832) 810-9521 · Fax (855) 703-1949
Phone(832) 810-9521
Fax(855) 703-1949
Organization SubpartNo
Authorized OfficialBlessy S JacobMedical Director · (832) 810-9521
Enumeration DateJuly 9, 2020
Last NPPES UpdateMay 30, 20247 updates tracked since enumeration
NPPES CertifiedMay 30, 2024
✔ NPI 1376161075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X

Secondary Practice Location 1

Location 12714 Cypress Point Dr Ste#AMissouri City, TX 77459-2600 · Phone (713) 703-7684 · Fax (855) 703-1949

Other Identifiers 2

Medicaid4213043TX
Medicaid3153637TX

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

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 ›

CLIA Laboratory Certificates CMS CLIA 2

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 45D2269120

Mount Carmel Medical Clinic PLLC · Houston, TX
Active · expires Sep 20, 2026
CLIA Number45D2269120
Laboratory TypePhysician Office
Certificate Effective DateSeptember 21, 2024
Certificate Expiration DateSeptember 20, 2026
Laboratory DirectorJohn Jacob
Laboratory Phone(713) 703-7684
Laboratory LocationMount Carmel Medical Clinic PLLC11230 Airline Dr, Houston, TX 77037
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2269117

Mount Carmel Medical Clinic PLLC · Missouri City, TX
Active · expires Sep 20, 2026
CLIA Number45D2269117
Laboratory TypePhysician Office
Certificate Effective DateSeptember 21, 2024
Certificate Expiration DateSeptember 20, 2026
Laboratory DirectorJohn Jacob
Laboratory Phone(713) 703-7684
Laboratory LocationMount Carmel Medical Clinic PLLC2714 Cypress Point Dr, Ste A, Missouri City, TX 77459
CLIA data matches this NPI record on: 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 Mount Carmel Medical Clinic PLLC's NPI number?

The NPI number for Mount Carmel Medical Clinic PLLC is 1376161075. It was assigned to this organization in the NPPES registry on July 9, 2020.

Where is Mount Carmel Medical Clinic PLLC located?

Mount Carmel Medical Clinic PLLC is located at 11230 Airline Dr Ste#1, Houston, TX 77037. The listed phone number is (832) 810-9521.

What is Mount Carmel Medical Clinic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Mount Carmel Medical Clinic PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Mount Carmel Medical Clinic PLLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Mount Carmel Medical Clinic PLLC 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 Mount Carmel Medical Clinic PLLC was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.