MEDAGENE CLINIC , P.A.
NPI 1437194685
Family Medicine in Houston, TX

Active since June 19, 2006CLIA 45D0965514 · Waiver
5373 W ALABAMA ST, HOUSTON, TX 77056(713) 779-1633 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Medagene Clinic , P.a. NPPES

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

MEDAGENE CLINIC , P.A. (NPI 1437194685) is a healthcare organization registered as a family medicine in Houston, Texas and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through September 13, 2028 and lists Gonzalo Uribebotero, Owner, as its authorized official.

NPPES Registry Identity

NPI1437194685
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEDAGENE CLINIC , P.A.
Location Address5373 W ALABAMA STHouston, TX 77056-5930
Mailing Address9606 S Rice AveHouston, TX 77096-4136 · (713) 779-1633
Organization SubpartNo
Authorized OfficialGonzalo UribeboteroOwner · (713) 779-1633
Enumeration DateJune 19, 2006
Last NPPES UpdateApril 24, 2026
NPPES CertifiedApril 24, 2026
✔ NPI 1437194685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · E1956
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPathology · Clinical Pathology/Laboratory MedicineTaxonomy 207ZP0105X · License E1956 (TX)
Also ListedPediatricsTaxonomy 208000000X · License E1956 (TX)
5373 W ALABAMA ST, Houston, TX 77056

Other Names 1

Former Legal Business NameMedagene Clinic , P.a.

Other Identifiers 2

Medicaid137927302TX
Other45D0965514TX · Clia

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)

Medagene Clinic , P.a. 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 Medagene Clinic , P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1023052164
5373 W ALABAMA ST HOUSTON, TX 77056
Houston, TX 77041
(713) 779-1633
✔ PECOSSame address

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 45D0965514

Medagene Clinic · Houston, TX
Active · expires Sep 13, 2028
CLIA Number45D0965514
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 14, 2026
Certificate Expiration DateSeptember 13, 2028
Laboratory DirectorGonzalo Uribe-Botero
Laboratory Phone(713) 779-1633
Laboratory LocationMedagene Clinic6655 Hillcroft Suite 105, Houston, TX 77081
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 Medagene Clinic , P.A.'s NPI number?

The NPI number for Medagene Clinic , P.A. is 1437194685. It was assigned to this organization in the NPPES registry on June 19, 2006.

Where is Medagene Clinic , P.A. located?

Medagene Clinic , P.A. is located at 5373 W Alabama St, Houston, TX 77056. The listed phone number is (713) 779-1633.

What is Medagene Clinic , P.A.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Medagene Clinic , P.A. enrolled in Medicare?

Yes. Medagene Clinic , P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medagene Clinic , P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Medagene Clinic , P.A.. 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 Medagene Clinic , P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0965514) is associated with this NPI, valid through September 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medagene Clinic , P.A. was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.