Clear Lake Primary Care PLLC - Medicare Primary Care in Webster, TX

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Clear Lake Primary Care PLLC is a medicare enrolled primary clinic (Family Medicine) in Webster, Texas. The current practice location for Clear Lake Primary Care PLLC is 905 W Medical Center Blvd Ste 405, Webster, Texas. For appointments, you can reach them via phone at (281) 724-1862. The mailing address for Clear Lake Primary Care PLLC is Po Box 57845, Webster, Texas and phone number is (281) 724-1862.

Clear Lake Primary Care PLLC is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1861743247. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (281) 724-1862.

Contact Information

Clear Lake Primary Care PLLC
905 W Medical Center Blvd Ste 405
Webster
TX 77598-4009
(281) 724-1862
(281) 724-1859

Map and Direction


Primary Care Clinic Profile

Full NameClear Lake Primary Care PLLC
SpecialityFamily Medicine
Location905 W Medical Center Blvd Ste 405, Webster, Texas
Authorized Official Name and PositionMohammad J Baba (PRESIDENT)
Authorized Official Contact2817241860
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Clear Lake Primary Care PLLC
Po Box 57845
Webster
TX 77598-7845

Ph: (281) 724-1862		Clear Lake Primary Care PLLC
905 W Medical Center Blvd Ste 405
Webster
TX 77598-4009

Ph: (281) 724-1862

NPI Details:

NPI Number1861743247
Provider Enumeration Date09/26/2012
Last Update Date09/17/2026
Certification Date09/17/2026

Medicare PECOS Information:

Medicare PECOS PAC ID6406001627
Medicare Enrollment IDO20130219000294

Medical Identifiers

Medical identifiers for Clear Lake Primary Care PLLC such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861743247NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ()Primary
207R00000XInternal Medicine L2542 (Texas)Secondary
208000000XPediatrics ()Secondary
261QU0200XClinic/center - Urgent Care ()Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Clear Lake Primary Care PLLC acts as a billing entity for following providers:
Provider NameJohn D Kirkwood
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073598777
PECOS PAC ID: 0547153165
Enrollment ID: I20040205001321
Provider NameAlvaro F Zamora
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285736900
PECOS PAC ID: 2567439730
Enrollment ID: I20040916000186
Provider NameCarlos V Bernal
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114080173
PECOS PAC ID: 8729049333
Enrollment ID: I20041026000524
Provider NameMohammad J Baba
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1699764811
PECOS PAC ID: 2769417674
Enrollment ID: I20050929000353
Provider NameSapan Subhashbhai Bhatt
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578620159
PECOS PAC ID: 2163445941
Enrollment ID: I20060106000631
Provider NameNilesh Vyas
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1104837889
PECOS PAC ID: 2860590221
Enrollment ID: I20070607000660
Provider NameClaudia H Makhoul
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1619028198
PECOS PAC ID: 4284731399
Enrollment ID: I20081205000395
Provider NameAbdul R Moosa
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871555052
PECOS PAC ID: 5193893261
Enrollment ID: I20090602000636
Provider NameAdnan Mustafa Rafiq
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831352269
PECOS PAC ID: 9234282872
Enrollment ID: I20090730000047
Provider NameFrank J Ponce
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497956734
PECOS PAC ID: 3678629409
Enrollment ID: I20090921000447
Provider NameAaliya Amer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518999093
PECOS PAC ID: 7416991286
Enrollment ID: I20091020000091
Provider NameChinonyerem Ndubueze
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598719338
PECOS PAC ID: 6709988041
Enrollment ID: I20091218000440
Provider NameTerry S Newman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871587147
PECOS PAC ID: 0042335770
Enrollment ID: I20100917000313
Provider NameIsra M Amer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356469142
PECOS PAC ID: 3678762713
Enrollment ID: I20110105000812
Provider NameJavier a Rios
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1619171295
PECOS PAC ID: 0547459968
Enrollment ID: I20110114000911
Provider NameAmir Ramsis Ghebranious
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1093777211
PECOS PAC ID: 6406957471
Enrollment ID: I20110819000325
Provider NameMary Campbell-fox
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174585871
PECOS PAC ID: 5294914362
Enrollment ID: I20110824000554
Provider NameKris Marie Martinez
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1316267461
PECOS PAC ID: 7911169545
Enrollment ID: I20120427000181
Provider NameTasnim Topiwala
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790945426
PECOS PAC ID: 4688733157
Enrollment ID: I20120820001142
Provider NameTammi R Peck Samman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639420003
PECOS PAC ID: 0042464489
Enrollment ID: I20130212000101
Provider NameSunita B Palmer
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1316045610
PECOS PAC ID: 2961635719
Enrollment ID: I20140430002444
Provider NameChan T Nguyen
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1891804027
PECOS PAC ID: 9436382298
Enrollment ID: I20140430002518
Provider NameFaiza Malik
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497061303
PECOS PAC ID: 0749421774
Enrollment ID: I20140611001796
Provider NameParul Rupanshi Garg
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1609155001
PECOS PAC ID: 8628297892
Enrollment ID: I20140920000185
Provider NameDeborah Turner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124466511
PECOS PAC ID: 8628391836
Enrollment ID: I20141219000384
Provider NameKrunal K Talati
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1871889220
PECOS PAC ID: 5698098689
Enrollment ID: I20141224000121
Provider NameDawn Phuong Nevle
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366537243
PECOS PAC ID: 0749312338
Enrollment ID: I20150126001376
Provider NameDipal a Patel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841687548
PECOS PAC ID: 5294046546
Enrollment ID: I20150612001899
Provider NameIsrat Jahan Gazi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477934461
PECOS PAC ID: 5799040242
Enrollment ID: I20180604001253
Provider NameNedal Musa Adi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093102477
PECOS PAC ID: 5991097024
Enrollment ID: I20180814000454
Provider NameSaba Ahmed
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043606650
PECOS PAC ID: 9931445368
Enrollment ID: I20190107001061
Provider NameKhaled Magdy Attia
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285162339
PECOS PAC ID: 8921378332
Enrollment ID: I20190315000093
Provider NameCaom Leeair Hansen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700313384
PECOS PAC ID: 7113298522
Enrollment ID: I20190515000684
Provider NamePeter Nathan Starr
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992159347
PECOS PAC ID: 1557794864
Enrollment ID: I20191127000237
Provider NameAlicia Faulkner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114550621
PECOS PAC ID: 4284055708
Enrollment ID: I20200609000257
Provider NameJanet Elizabeth Metts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366082901
PECOS PAC ID: 4981026168
Enrollment ID: I20200616002010
Provider NameMaysoon Hamed
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881984235
PECOS PAC ID: 0446472922
Enrollment ID: I20200827000405
Provider NameMahjabeen Fathima Khan
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1558757831
PECOS PAC ID: 3274839709
Enrollment ID: I20210315000358
Provider NamePhi Ngoc Le
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609466622
PECOS PAC ID: 2567862873
Enrollment ID: I20210608001872
Provider NameMotaz B Ibrahim
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174028039
PECOS PAC ID: 2466855598
Enrollment ID: I20210727000813
Provider NameEvelyn Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689003493
PECOS PAC ID: 6800299850
Enrollment ID: I20210728001451
Provider NameJamal Mohammed
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609364124
PECOS PAC ID: 1153679220
Enrollment ID: I20210827000426
Provider NameRuth Elsa Stephen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740837665
PECOS PAC ID: 0042603268
Enrollment ID: I20220211000984
Provider NameBeau Kirkwood
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1811557333
PECOS PAC ID: 3375879257
Enrollment ID: I20221110001601
Provider NameJessica Orta
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1497250989
PECOS PAC ID: 8628324928
Enrollment ID: I20221125000371
Provider NameSameh Askandar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154736239
PECOS PAC ID: 4183996218
Enrollment ID: I20230320002473
Provider NameJennifer R Venkatesh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538862263
PECOS PAC ID: 4688030539
Enrollment ID: I20230518001209
Provider NameMohsin Syed Qadri
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437653953
PECOS PAC ID: 8224439989
Enrollment ID: I20230522001298
Provider NameTanvir Ahmed
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386271278
PECOS PAC ID: 7618330549
Enrollment ID: I20230825000620
Provider NameJisha Mathew
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205478724
PECOS PAC ID: 6709288723
Enrollment ID: I20230905003655
Provider NameNandini Kolla Ganga
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1447571856
PECOS PAC ID: 9234387630
Enrollment ID: I20231109000700
Provider NameKarina Gonzalez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104483775
PECOS PAC ID: 6901257476
Enrollment ID: I20240109002413
Provider NameAttiyah Shahid Zaheer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912460155
PECOS PAC ID: 9739564279
Enrollment ID: I20240208004152
Provider NameAssel Aldajeh
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1457973745
PECOS PAC ID: 0648619015
Enrollment ID: I20240417004016
Provider NameNadin Farid
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629832761
PECOS PAC ID: 7810337193
Enrollment ID: I20240503000797
Provider NameJessica L Vetere
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1316725609
PECOS PAC ID: 8325582414
Enrollment ID: I20240701000607
Provider NameSara Mohamed Hassan Youssef
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558931055
PECOS PAC ID: 2163968140
Enrollment ID: I20240725004824
Provider NameMaria D Ariza Hart
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073746871
PECOS PAC ID: 3577719988
Enrollment ID: I20240805001753
Provider NameSyed Ali Fahad Kazmi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992373112
PECOS PAC ID: 7618325697
Enrollment ID: I20240819002727
Provider NameRoberta T Lee
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1518054261
PECOS PAC ID: 0143453993
Enrollment ID: I20241226001156
Provider NameSarah Tarek Hussein
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275115024
PECOS PAC ID: 3779985577
Enrollment ID: I20250320002411
Provider NameIhab Yahya Harmouche
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790417202
PECOS PAC ID: 6002331089
Enrollment ID: I20250423000135
Provider NameShashera Pringle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265041420
PECOS PAC ID: 4587063995
Enrollment ID: I20250610002962
Provider NameTahseen Shakoor Kasmani
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457235830
PECOS PAC ID: 2062913742
Enrollment ID: I20250903001475
Provider NameKhaled S Mohammed
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1710410535
PECOS PAC ID: 1850626656
Enrollment ID: I20250908000862
Provider NameJoyce Idehen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215420559
PECOS PAC ID: 4486146099
Enrollment ID: I20251121001028
Provider NameAmara Elenni Osita
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447120274
PECOS PAC ID: 6204328701
Enrollment ID: I20251121003799
Provider NameTatiyana Provost
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447119573
PECOS PAC ID: 2264910462
Enrollment ID: I20260129002314
Provider NameThao Phuong Hoang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457215071
PECOS PAC ID: 6800379728
Enrollment ID: I20260310001379
Provider NameMohammed Ansar Ahmed
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1336727718
PECOS PAC ID: 1850776238
Enrollment ID: I20260320003920
Provider NameZaiba Khan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720645799
PECOS PAC ID: 2961886221
Enrollment ID: I20260320003997
Provider NameVeronica Femat
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811843279
PECOS PAC ID: 0446735377
Enrollment ID: I20260330001357
Provider NameFatin Mustafa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033068598
PECOS PAC ID: 4385111012
Enrollment ID: I20260429004199
Provider NameKenneth Lyle Naca
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033077250
PECOS PAC ID: 2769950898
Enrollment ID: I20260507001138

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.