ANTI-AGING AND WELLNESS MD PLLC
NPI 1619730520
Family Medicine in Houston, TX
About Anti-aging And Wellness Md Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTI-AGING AND WELLNESS MD PLLC (NPI 1619730520), doing business as Bellaire Primary Care, is a healthcare organization registered as a family medicine in Houston, Texas and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through April 2, 2028 and lists Jason T Wang, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Anti-aging And Wellness Md 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 Anti-Aging And Wellness MD PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 45D2302042
Anti-Aging And Wellness MD PLLC · Houston, TXFrequently 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 Anti-Aging And Wellness MD PLLC's NPI number?
The NPI number for Anti-Aging And Wellness MD PLLC is 1619730520. It was assigned to this organization in the NPPES registry on February 2, 2024. The provider is doing business as Bellaire Primary Care.
Where is Anti-Aging And Wellness MD PLLC located?
Anti-Aging And Wellness MD PLLC is located at 11548 Bellaire Blvd, Houston, TX 77072. The listed phone number is (281) 973-0024.
What is Anti-Aging And Wellness MD PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Anti-Aging And Wellness MD PLLC enrolled in Medicare?
Yes. Anti-Aging And Wellness MD PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Anti-Aging And Wellness MD PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Anti-Aging And Wellness MD 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 Anti-Aging And Wellness MD PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2302042) is associated with this NPI, valid through April 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Anti-Aging And Wellness MD PLLC accept?
Health plans from Blue Cross and Blue Shield of Texas list Anti-Aging And Wellness MD PLLC 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 Anti-Aging And Wellness MD PLLC was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Anti-Aging And Wellness Md Pllc · NPI 1619730520
Family Medicine organization in Houston, Texas. Organization record, active in the CMS NPPES registry since February 2, 2024.
## Identity
- **NPI:** 1619730520 (Entity type: Organization)
- **Enumerated:** February 2, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Bellaire Primary Care (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jason Wang, PRESIDENT
## Practice location
- **Address:** 11548 BELLAIRE BLVD, Houston, TX 77072-2448
- **Phone:** (281) 973-0024 · **Fax:** (281) 973-0203
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 21, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619730520) · Data from the CMS NPPES public registry.