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CLEAR LAKE PEDIATRIC CLINIC, P.A.
NPI 1619183936
Pediatrics in Webster, TX

Active since May 15, 2007CLIA 45D0959698 · Waiver
16 PROFESSIONAL PARK DR, WEBSTER, TX 77598(281) 332-3503(201) 849-7650 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clear Lake Pediatric Clinic, P.a. NPPES

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

CLEAR LAKE PEDIATRIC CLINIC, P.A. (NPI 1619183936) is a healthcare organization registered as a pediatrics in Webster, Texas and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through October 10, 2026 and lists Michelle M Cook, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1619183936
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCLEAR LAKE PEDIATRIC CLINIC, P.A.
Location Address16 PROFESSIONAL PARK DRWebster, TX 77598-4127
Mailing Address16 Professional Park DrWebster, TX 77598-4127 · (281) 332-3503 · Fax (201) 849-7650
Phone(281) 332-3503
Fax(201) 849-7650
Organization SubpartNo
Authorized OfficialMichelle M CookBusiness Manager · (281) 332-4830
Enumeration DateMay 15, 2007
Last NPPES UpdateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
✔ NPI 1619183936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
16 PROFESSIONAL PARK DR, Webster, TX 77598
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Other Identifiers 1

Medicaid0843393-01TX

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 Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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 45D0959698

Clear Lake Pediatric Clinic, PA · Webster, TX
Active · expires Oct 10, 2026
CLIA Number45D0959698
Laboratory TypePhysician Office
Certificate Effective DateOctober 11, 2024
Certificate Expiration DateOctober 10, 2026
Laboratory DirectorRoberta Lee MD
Laboratory Phone(281) 332-3503
Laboratory LocationClear Lake Pediatric Clinic, PA16 Professional Park Dr, Webster, TX 77598
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

ASSEL ALDAJEH MD
Pediatrics
16 PROFESSIONAL PARK DR
WEBSTER, TX 77598
Harris County (281) 332-3503
MAHJABEEN FATHIMA KHAN MD
Pediatrics
16 PROFESSIONAL PARK DR
WEBSTER, TX 77598
Harris County (281) 332-3503
CHAN T NGUYEN MD
Pediatrics
16 PROFESSIONAL PARK DR
WEBSTER, TX 77598
Harris County (281) 332-3503

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 Clear Lake Pediatric Clinic, P.A.'s NPI number?

The NPI number for Clear Lake Pediatric Clinic, P.A. is 1619183936. It was assigned to this organization in the NPPES registry on May 15, 2007.

Where is Clear Lake Pediatric Clinic, P.A. located?

Clear Lake Pediatric Clinic, P.A. is located at 16 Professional Park Dr, Webster, TX 77598. The listed phone number is (281) 332-3503.

What is Clear Lake Pediatric Clinic, P.A.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Clear Lake Pediatric Clinic, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0959698) is associated with this NPI, valid through October 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Clear Lake Pediatric Clinic, P.A. accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Clear Lake Pediatric Clinic, P.A. 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 Clear Lake Pediatric Clinic, P.A. was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.