WELL HEALTH MEDICAL CLINIC , PA
NPI 1750527065
Internal Medicine in Houston, TX

Active since December 17, 2008CLIA 45D1097976 · Waiver
12011 HIGH STAR DR, HOUSTON, TX 77072(832) 379-9200 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Well Health Medical Clinic , Pa NPPES

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

WELL HEALTH MEDICAL CLINIC , PA (NPI 1750527065) is a healthcare organization registered as an internal medicine in Houston, Texas and active in the NPI registry since December 2008. The organization holds a CLIA Waiver certificate valid through April 7, 2027 and lists Jessie Yuanqi Feng, Director/president, as its authorized official.

NPPES Registry Identity

NPI1750527065
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWELL HEALTH MEDICAL CLINIC , PA
Location Address12011 HIGH STAR DRHouston, TX 77072-1207
Mailing Address12011 High Star DrHouston, TX 77072-1207 · (832) 379-9200
Organization SubpartNo
Authorized OfficialJessie Yuanqi FengDirector/president · (713) 493-9500
Enumeration DateDecember 17, 2008
Last NPPES UpdateMarch 28, 2025
NPPES CertifiedMarch 28, 2025
✔ NPI 1750527065 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 · N1318
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.
12011 HIGH STAR DR, Houston, TX 77072

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Well Health Medical Clinic , Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20090316000323Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Well Health Medical Clinic , PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1821290727
12011 HIGH STAR DR
Houston, TX 77072
(832) 379-9200
✔ 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 45D1097976

Well Health Medical Clinic, PA · Houston, TX
Active · expires Apr 7, 2027
CLIA Number45D1097976
Laboratory TypePhysician Office
Certificate Effective DateApril 8, 2025
Certificate Expiration DateApril 7, 2027
Laboratory DirectorJessie Y. Feng
Laboratory Phone(713) 261-0941
Laboratory LocationWell Health Medical Clinic, PA12011 High Star Drive, Houston, TX 77072
CLIA data matches this NPI record on: Address Name
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 Well Health Medical Clinic , PA's NPI number?

The NPI number for Well Health Medical Clinic , PA is 1750527065. It was assigned to this organization in the NPPES registry on December 17, 2008.

Where is Well Health Medical Clinic , PA located?

Well Health Medical Clinic , PA is located at 12011 High Star Dr, Houston, TX 77072. The listed phone number is (832) 379-9200.

What is Well Health Medical Clinic , PA's specialty?

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

Is Well Health Medical Clinic , PA enrolled in Medicare?

Yes. Well Health Medical Clinic , PA is registered in the Medicare PECOS enrollment system.

When is Well Health Medical Clinic , PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Well Health Medical Clinic , PA?

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

Yes. A Certificate of Waiver (number 45D1097976) is associated with this NPI, valid through April 7, 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 Well Health Medical Clinic , PA was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.