MOUNT CARMEL MEDICAL CLINIC PLLC
NPI 1376161075
Clinic/Center - Primary Care in Houston, TX
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
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 2
Group Practice 2
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)
Mount Carmel Medical Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mount Carmel Medical Clinic PLLC, 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.
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, TXCertificate of Waiver 45D2269117
Mount Carmel Medical Clinic PLLC · Missouri City, TXFrequently 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.
Is Mount Carmel Medical Clinic PLLC enrolled in Medicare?
Yes. Mount Carmel Medical Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mount Carmel Medical Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mount Carmel Medical Clinic PLLC. 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.
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 Blue Cross and Blue Shield of Texas and WellPoint 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.
# Mount Carmel Medical Clinic Pllc · NPI 1376161075
Primary Care organization in Houston, Texas. Organization record, active in the CMS NPPES registry since July 9, 2020.
## Identity
- **NPI:** 1376161075 (Entity type: Organization)
- **Enumerated:** July 9, 2020
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Blessy Jacob, MEDICAL DIRECTOR
## Practice location
- **Address:** 11230 AIRLINE DR STE#1, Houston, TX 77037-1116
- **Phone:** (832) 810-9521 · **Fax:** (855) 703-1949
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 30, 2024
- **Other identifiers:** Medicaid 4213043 (TX); Medicaid 3153637 (TX)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1376161075) · Data from the CMS NPPES public registry.