PROVIDER HEALTH SERVICES LLC
NPI 1831967561
Family Medicine in Humble, TX
About Provider Health Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDER HEALTH SERVICES LLC (NPI 1831967561) is a healthcare organization registered as a family medicine in Humble, Texas and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through October 27, 2028 and lists Victor Mzyece, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Provider Health Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Provider Health Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 45D2313262
Provider Health Services LLC · Humble, 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 Provider Health Services LLC's NPI number?
The NPI number for Provider Health Services LLC is 1831967561. It was assigned to this organization in the NPPES registry on December 12, 2023.
Where is Provider Health Services LLC located?
Provider Health Services LLC is located at 1906 Treble Dr Ste 18, Humble, TX 77338. The listed phone number is (281) 305-8633.
What is Provider Health Services LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Provider Health Services LLC enrolled in Medicare?
Yes. Provider Health Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Provider Health Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Provider Health Services LLC, in Family Practice and Nurse Practitioner. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Provider Health Services LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2313262) is associated with this NPI, valid through October 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Provider Health Services LLC accept?
Health plans from Blue Cross and Blue Shield of Texas list Provider Health Services LLC 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 Provider Health Services LLC was last updated on April 2, 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.
# Provider Health Services Llc · NPI 1831967561
Family Medicine organization in Humble, Texas. Organization record, active in the CMS NPPES registry since December 12, 2023.
## Identity
- **NPI:** 1831967561 (Entity type: Organization)
- **Enumerated:** December 12, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Victor Mzyece, PRESIDENT
## Practice location
- **Address:** 1906 TREBLE DR STE 18, Humble, TX 77338-5284
- **Phone:** (281) 305-8633 · **Fax:** (281) 305-8633
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 2, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1831967561) · Data from the CMS NPPES public registry.