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EAST HOUSTON PHYSICIANS GROUP, PA
NPI 1518219104
Internal Medicine in Houston, TX

Active since October 08, 2012CLIA 45D2039544 · Waiver
11821 EAST FWY STE 175, HOUSTON, TX 77029(713) 330-0766(877) 862-8370 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 27, 2024, Apr 2, 2019, Feb 4, 2016 (3 updates tracked since 2016).

About East Houston Physicians Group, Pa NPPES

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

EAST HOUSTON PHYSICIANS GROUP, PA (NPI 1518219104) is a healthcare organization registered as an internal medicine in Houston, Texas and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through April 11, 2028 and lists Ronald Wayne Killam, Ceo, as its authorized official.

NPPES Registry Identity

NPI1518219104
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEAST HOUSTON PHYSICIANS GROUP, PA
Location Address11821 EAST FWY STE 175Houston, TX 77029-1960
Mailing AddressPo Box 96706Houston, TX 77213-6706 · (713) 330-0766 · Fax (713) 330-0794
Phone(713) 330-0766
Fax(877) 862-8370
Organization SubpartNo
Authorized OfficialRonald Wayne KillamCeo · (713) 330-0766
Enumeration DateOctober 8, 2012
Last NPPES UpdateJune 27, 20243 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
✔ NPI 1518219104 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.
11821 EAST FWY STE 175, Houston, TX 77029
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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 45D2039544

East Houston Physicians Group PA · Houston, TX
Active · expires Apr 11, 2028
CLIA Number45D2039544
Laboratory TypePhysician Office
Certificate Effective DateApril 12, 2026
Certificate Expiration DateApril 11, 2028
Laboratory DirectorRonald W. Killam
Laboratory Phone(713) 330-0766
Laboratory LocationEast Houston Physicians Group PA11110 East Fwy Ste 100A, Houston, TX 77029
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INTEGRITY FAMILY HEALTHCARE PLLC
Family Medicine
11821 EAST FWY STE 175
HOUSTON, TX 77029
Harris County (281) 973-9503
DR. MICHELLE EVETTE LEGALL M.D.
Family Medicine
11821 EAST FWY STE 175
HOUSTON, TX 77029
Harris County (281) 973-9503
PETER CHAN FNP-C
Nurse Practitioner (Family)
11821 EAST FWY STE 175
HOUSTON, TX 77029
Harris County (713) 330-0766
KYLE KETTLE FNP-C
Nurse Practitioner (Family)
11821 EAST FWY STE 175
HOUSTON, TX 77029
Harris County (832) 548-6171

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 East Houston Physicians Group, PA's NPI number?

The NPI number for East Houston Physicians Group, PA is 1518219104. It was assigned to this organization in the NPPES registry on October 8, 2012.

Where is East Houston Physicians Group, PA located?

East Houston Physicians Group, PA is located at 11821 East Fwy Ste 175, Houston, TX 77029. The listed phone number is (713) 330-0766.

What is East Houston Physicians Group, PA's specialty?

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

Does East Houston Physicians Group, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2039544) is associated with this NPI, valid through April 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does East Houston Physicians Group, PA accept?

Health plans from Molina Healthcare list East Houston Physicians Group, PA 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 East Houston Physicians Group, PA was last updated on June 27, 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.