SPECIALTY CLINICS OF SPACE CITY PA
NPI 1376974519
Internal Medicine in Webster, TX

Active since December 12, 2013
560 BLOSSOM ST STE C, WEBSTER, TX 77598(832) 905-6141(832) 200-3259 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Specialty Clinics Of Space City Pa NPPES

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

SPECIALTY CLINICS OF SPACE CITY PA (NPI 1376974519) is a healthcare organization registered as an internal medicine in Webster, Texas and active in the NPI registry since December 2013. The organization maintains a secondary practice location in League City and lists Aruna Agraharkar, President, as its authorized official.

NPPES Registry Identity

NPI1376974519
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSPECIALTY CLINICS OF SPACE CITY PA
Location Address560 BLOSSOM ST STE CWebster, TX 77598-4237
Mailing Address2301 Carina CtLeague City, TX 77573-2879 · (713) 589-3320
Fax(832) 200-3259
Organization SubpartNo
Authorized OfficialAruna AgraharkarPresident · (832) 905-6141
Enumeration DateDecember 12, 2013
Last NPPES UpdateFebruary 5, 2025
NPPES CertifiedFebruary 5, 2025
✔ NPI 1376974519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
560 BLOSSOM ST STE C, Webster, TX 77598

Secondary Practice Location 1

Location 12301 Carina CtLeague City, TX 77573-2879 · Phone (713) 589-3320

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Specialty Clinics Of Space City Pa 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 Specialty Clinics Of Space City PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Geriatric Medicine
NPI 1316044126
560 BLOSSOM ST STE C
Webster, TX 77598
(832) 905-6141
✔ PECOS✔ Accepts MedicareSame address

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 Specialty Clinics Of Space City PA's NPI number?

The NPI number for Specialty Clinics Of Space City PA is 1376974519. It was assigned to this organization in the NPPES registry on December 12, 2013.

Where is Specialty Clinics Of Space City PA located?

Specialty Clinics Of Space City PA is located at 560 Blossom St Ste C, Webster, TX 77598. The listed phone number is (832) 905-6141.

What is Specialty Clinics Of Space City PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Specialty Clinics Of Space City PA enrolled in Medicare?

Yes. Specialty Clinics Of Space City PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Specialty Clinics Of Space City PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Geriatric Medicine) reassigns their Medicare billing to Specialty Clinics Of Space City 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 Specialty Clinics Of Space City PA was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.