SR MEDICAL CLINIC PLLC
NPI 1467883694
Internal Medicine in Houston, TX

Q: What is Sr Medical Clinic PLLC's NPI number?

The NPI number for Sr Medical Clinic PLLC is 1467883694. It was assigned to this organization in the NPPES registry on December 13, 2013.

Q: What is Sr Medical Clinic PLLC's specialty?

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

Active since December 13, 2013CLIA 45D2070998 · Waiver

5990 AIRLINE DR, 250, HOUSTON, TX 77076(713) 695-8180 Get Directions Write a Review

NPPES record last updated: March 25, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Sr Medical Clinic Pllc NPPES

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

SR MEDICAL CLINIC PLLC (NPI 1467883694) is a healthcare organization registered as an internal medicine in Houston, Texas and active in the NPI registry since December 2013. The organization holds a CLIA Waiver certificate valid through December 30, 2027 and lists Sadasivareddy Goli, Physician, as its authorized official.

NPPES Registry Identity

NPI1467883694

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameSR MEDICAL CLINIC PLLC

Location Address5990 AIRLINE DR, 250Houston, TX 77076-4237

Mailing AddressPo Box 38252Houston, TX 77238-8252

Phone(713) 695-8180

Organization SubpartNo

Authorized OfficialSadasivareddy GoliPhysician · (713) 695-8180

Enumeration DateDecember 13, 2013

Last NPPES UpdateMarch 25, 2014

✔ NPI 1467883694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · L3314

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.

5990 AIRLINE DR, Houston, TX 77076

Open in Google Maps ↗

Group Practice 1

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sr 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 Sr Medical Clinic PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sadasivareddy Goli, M.D.

Internal Medicine

NPI 1831100676

5990 AIRLINE DR 250
Houston, TX 77076

(713) 695-8180

✔ 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.

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 45D2070998

Sr Medical Clinic PLLC · Houston, TX

Active · expires Dec 30, 2027

CLIA Number45D2070998

Laboratory TypePhysician Office

Certificate Effective DateDecember 31, 2025

Certificate Expiration DateDecember 30, 2027

Laboratory DirectorSadasivareddy Goli

Laboratory Phone(713) 695-8180

Laboratory LocationSr Medical Clinic PLLC5990 Airline Dr #250, Houston, TX 77076

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 Sr Medical Clinic PLLC's NPI number?

The NPI number for Sr Medical Clinic PLLC is 1467883694. It was assigned to this organization in the NPPES registry on December 13, 2013.

Where is Sr Medical Clinic PLLC located?

Sr Medical Clinic PLLC is located at 5990 Airline Dr 250, Houston, TX 77076. The listed phone number is (713) 695-8180.

What is Sr Medical Clinic PLLC's specialty?

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

Is Sr Medical Clinic PLLC enrolled in Medicare?

Yes. Sr Medical Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sr Medical Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Sr 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 Sr Medical Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2070998) is associated with this NPI, valid through December 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sr Medical Clinic PLLC was last updated on March 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.