Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CLAUDIA MAKHOUL M.D.
NPI 1619028198
Internal Medicine in Houston, TX

Active since January 13, 2007PECOS EnrolledAccepts Medicare Assignment
4615 SOUTHWEST FWY STE 900, HOUSTON, TX 77027(346) 250-5650 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 2, 2026, Feb 2, 2026, May 20, 2025 and 1 more (4 updates tracked since 2017).

About Claudia Makhoul M.d. NPPES

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

CLAUDIA MAKHOUL M.D. (NPI 1619028198) is an individual internal medicine provider in Houston, Texas, licensed in Texas (N0940) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1619028198
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCLAUDIA MAKHOULCredential: M.D.
Location Address4615 SOUTHWEST FWY STE 900Houston, TX 77027-7191
Mailing AddressPo Box 57845Webster, TX 77598-7845 · (281) 724-1862 · Fax (281) 724-1859
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJanuary 13, 2007
Last NPPES UpdateSeptember 2, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1619028198 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 · N0940
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.
4615 SOUTHWEST FWY STE 900, Houston, TX 77027

Secondary Practice Locations 2

Location 14615 Southwest Fwy Ste 1000Houston, TX 77027-7108 · Phone (346) 250-5650
Location 2500 N Kobayashi Ste FWebster, TX 77598-4722 · Phone (281) 724-1860 · Fax (281) 724-1861

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Claudia Makhoul M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284731399
PECOS Enrollment IDI20081205000395
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Claudia Makhoul reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
6550 FANNIN ST, SUITE 447
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,407 clinicians in this Medicare group
Family Medicine
905 W MEDICAL CENTER BLVD STE 405
Webster, TX 77598
  • Reassigned Medicare billing, Texas enrollment
  • 69 clinicians in this Medicare group
Pulmonary Disease
500 N KOBAYASHI STE A
Webster, TX 77598
  • Reassigned Medicare billing, Texas enrollment
  • 275 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers16 claims52 services$5.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Family)
4615 SOUTHWEST FWY STE 900
HOUSTON, TX 77027
Internal Medicine (Pulmonary Disease)
4615 SOUTHWEST FWY STE 900
HOUSTON, TX 77027
Internal Medicine (Gastroenterology)
4615 SOUTHWEST FWY STE 900
HOUSTON, TX 77027
Psychiatry & Neurology (Neurology)
4615 SOUTHWEST FWY STE 900
HOUSTON, TX 77027
Nurse Practitioner (Family)
4615 SOUTHWEST FWY STE 900
HOUSTON, TX 77027
Family Medicine
4615 SOUTHWEST FWY STE 900
HOUSTON, TX 77027
Internal Medicine (Nephrology)
4615 SOUTHWEST FWY STE 900
HOUSTON, TX 77027
Family Medicine
4615 SOUTHWEST FWY STE 900
HOUSTON, TX 77027

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 Claudia Makhoul's NPI number?

The NPI number for Claudia Makhoul is 1619028198. It was assigned to this individual provider in the NPPES registry on January 13, 2007.

Where is Claudia Makhoul located?

Claudia Makhoul practices at 4615 Southwest Fwy Ste 900, Houston, TX 77027. The listed phone number is (346) 250-5650.

What is Claudia Makhoul's specialty?

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

Is Claudia Makhoul enrolled in Medicare?

Yes. Claudia Makhoul is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Claudia Makhoul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claudia Makhoul reassigns Medicare benefits to 3 organizations: Tmh Physician Associates PLLC (Houston, TX), Clear Lake Primary Care PLLC (Webster, TX) and Cls Health PLLC (Webster, TX). Each 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 Claudia Makhoul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claudia Makhoul accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Claudia Makhoul 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 Claudia Makhoul was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.