NORTHEAST MEDICAL GROUP, PLLC
NPI 1932073368
Nurse Practitioner - Family in Houston, TX
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
Specialties & Licenses
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)
Northeast Medical Group, 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 Northeast Medical Group, 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 45D2342077
Northeast Medical Group, 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 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) 281-0802.
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.
Is Northeast Medical Group, PLLC enrolled in Medicare?
Yes. Northeast Medical Group, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northeast Medical Group, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Northeast Medical Group, 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 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.
What insurance does Northeast Medical Group, PLLC accept?
Health plans from Blue Cross and Blue Shield of Texas list Northeast Medical Group, 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 Northeast Medical Group, PLLC was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.
# Northeast Medical Group, Pllc · NPI 1932073368
Family organization in Houston, Texas. Organization record, active in the CMS NPPES registry since September 30, 2025.
## Identity
- **NPI:** 1932073368 (Entity type: Organization)
- **Enumerated:** September 30, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** John Kyles, OWNER
## Practice location
- **Address:** 1454 LOCKWOOD DR STE E, Houston, TX 77020-4700
- **Phone:** (713) 281-0802
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 16, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1932073368) · Data from the CMS NPPES public registry.