VILLAGEMD OF SOUTHEAST TEXAS, PA
NPI 1942857982
Family Medicine in Houston, TX

Active since August 23, 2019CLIA Certified · 2 labs
9055 KATY FWY STE 200, HOUSTON, TX 77024(713) 461-2915(713) 461-5307 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2025, Jan 24, 2023, Aug 23, 2019 (3 updates tracked since 2019).

About Villagemd Of Southeast Texas, Pa NPPES

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

VILLAGEMD OF SOUTHEAST TEXAS, PA (NPI 1942857982) is a healthcare organization registered as a family medicine in Houston, Texas and active in the NPI registry since August 2019. The organization holds 2 active CLIA laboratory certificates and lists Rebecca Rager, Director Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1942857982
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVILLAGEMD OF SOUTHEAST TEXAS, PA
Location Address9055 KATY FWY STE 200Houston, TX 77024-1629
Mailing AddressPo Box 392929Pittsburgh, PA 15251-4043 · (713) 461-2915 · Fax (713) 461-5307
Fax(713) 461-5307
Organization SubpartNo
Authorized OfficialRebecca RagerDirector Revenue Cycle · (844) 969-0686
Enumeration DateAugust 23, 2019
Last NPPES UpdateJanuary 10, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
NPI 1942857982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
9055 KATY FWY STE 200, Houston, TX 77024

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 45D2120175

Villagemd Of Southeast Texas, PA · Houston, TX
Active · expires Oct 10, 2026
CLIA Number45D2120175
Laboratory TypePhysician Office
Certificate Effective DateOctober 11, 2024
Certificate Expiration DateOctober 10, 2026
Laboratory DirectorKristy D. Heatly
Laboratory Phone(713) 461-2915
Laboratory LocationVillagemd Of Southeast Texas, PA12314 Jones Road, Houston, TX 77070
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 45D0683856

Villagemd Of Southeast Texas, PA · Houston, TX
Active · expires Sep 5, 2027
CLIA Number45D0683856
Laboratory TypePhysician Office
Certificate Effective DateSeptember 6, 2025
Certificate Expiration DateSeptember 5, 2027
Laboratory DirectorMr. Michael B. Smith
Laboratory Phone(346) 766-0917
Laboratory LocationVillagemd Of Southeast Texas, PA4650 Westway Park Blvd, Suite 210, Houston, TX 77041
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
9055 KATY FWY STE 200
HOUSTON, TX 77024
Family Medicine
9055 KATY FWY STE 200
HOUSTON, TX 77024
Nurse Practitioner (Family)
9055 KATY FWY STE 200
HOUSTON, TX 77024
Internal Medicine
9055 KATY FWY STE 200
HOUSTON, TX 77024
Family Medicine
9055 KATY FWY STE 200
HOUSTON, TX 77024
Nurse Practitioner (Family)
9055 KATY FWY STE 200
HOUSTON, TX 77024
Nurse Practitioner
9055 KATY FWY STE 200
HOUSTON, TX 77024
Family Medicine
9055 KATY FWY STE 200
HOUSTON, TX 77024

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 Villagemd Of Southeast Texas, PA's NPI number?

The NPI number for Villagemd Of Southeast Texas, PA is 1942857982. It was assigned to this organization in the NPPES registry on August 23, 2019.

Where is Villagemd Of Southeast Texas, PA located?

Villagemd Of Southeast Texas, PA is located at 9055 Katy Fwy Ste 200, Houston, TX 77024. The listed phone number is (713) 461-2915.

What is Villagemd Of Southeast Texas, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Villagemd Of Southeast Texas, PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Villagemd Of Southeast Texas, PA was last updated on January 10, 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.