NORTHEAST MEDICAL GROUP, PLLC
NPI 1932073368
Nurse Practitioner - Family in Houston, TX

Active since September 30, 2025CLIA 45D2342077 · Waiver
1454 LOCKWOOD DR STE E, HOUSTON, TX 77020(713) 249-8236 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northeast Medical Group, Pllc NPPES

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

NORTHEAST MEDICAL GROUP, PLLC (NPI 1932073368) is a healthcare organization registered as a family in Houston, Texas and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through April 12, 2028 and lists John Delaney Kyles, Owner, as its authorized official.

NPPES Registry Identity

NPI1932073368
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameNORTHEAST MEDICAL GROUP, PLLC
Location Address1454 LOCKWOOD DR STE EHouston, TX 77020-4700
Mailing AddressPo Box 15054Houston, TX 77220-5054 · (713) 249-8236
Organization SubpartNo
Authorized OfficialJohn Delaney KylesOwner · (713) 249-8236
Enumeration DateSeptember 30, 2025
Last NPPES UpdateMarch 13, 2026
NPPES CertifiedMarch 13, 2026
NPI 1932073368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1454 LOCKWOOD DR STE E, Houston, TX 77020

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

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 45D2342077

Northeast Medical Group, PLLC · Houston, TX
Active · expires Apr 12, 2028
CLIA Number45D2342077
Laboratory TypePhysician Office
Certificate Effective DateApril 13, 2026
Certificate Expiration DateApril 12, 2028
Laboratory DirectorJohn D. Kyles
Laboratory Phone(346) 600-2000
Laboratory LocationNortheast Medical Group, PLLC1454 Lockwood Drive Suite E, Houston, TX 77020
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 Northeast Medical Group, PLLC's NPI number?

The NPI number for Northeast Medical Group, PLLC is 1932073368. It was assigned to this organization in the NPPES registry on September 30, 2025.

Where is Northeast Medical Group, PLLC located?

Northeast Medical Group, PLLC is located at 1454 Lockwood Dr Ste E, Houston, TX 77020. The listed phone number is (713) 249-8236.

What is Northeast Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Northeast Medical Group, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2342077) is associated with this NPI, valid through April 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northeast Medical Group, PLLC was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.