MONT BELVIEU PROVIDERS, PLLC
NPI 1972296077
Family Medicine in Mont Belvieu, TX
About Mont Belvieu Providers, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MONT BELVIEU PROVIDERS, PLLC (NPI 1972296077) is a healthcare organization registered as a family medicine in Mont Belvieu, Texas and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Douglas Chung, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Mont Belvieu Providers, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Mont Belvieu Providers, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (12)
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 45D2111379
Mont Belvieu Providers, PLLC · Mont Belvieu, 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 Mont Belvieu Providers, PLLC's NPI number?
The NPI number for Mont Belvieu Providers, PLLC is 1972296077. It was assigned to this organization in the NPPES registry on June 2, 2023.
Where is Mont Belvieu Providers, PLLC located?
Mont Belvieu Providers, PLLC is located at 11303 Eagle Dr, Mont Belvieu, TX 77523. The listed phone number is (281) 385-8111.
What is Mont Belvieu Providers, PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mont Belvieu Providers, PLLC enrolled in Medicare?
Yes. Mont Belvieu Providers, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mont Belvieu Providers, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Mont Belvieu Providers, 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. The largest specialties are Nurse Practitioner (11) and Internal Medicine (1). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mont Belvieu Providers, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2111379) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mont Belvieu Providers, PLLC accept?
Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Mont Belvieu Providers, 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 Mont Belvieu Providers, PLLC was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Mont Belvieu Providers, Pllc · NPI 1972296077
Family Medicine organization in Mont Belvieu, Texas. Organization record, active in the CMS NPPES registry since June 2, 2023.
## Identity
- **NPI:** 1972296077 (Entity type: Organization)
- **Enumerated:** June 2, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Douglas Chung, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 11303 EAGLE DR, Mont Belvieu, TX 77523-7623
- **Phone:** (281) 385-8111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Internal Medicine (1); 1 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 4, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1972296077) · Data from the CMS NPPES public registry.