Avenue 360 Health and Wellness – Federally Qualified Health Center (FQHC), NPI 1477795417
Federally Qualified Health Center (FQHC)
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Avenue 360 Health and Wellness
902 Frostwood Dr Ste 142
Houston, TX 770242401
Phone: (713) 426-0027
Type: Location
17010 Sugar Pine Dr
Houston, TX 770902213
Phone: (713) 426-0027
Type: Location
14095 Main St
Houston, TX 770355447
Phone: (713) 426-0027
Type: Location
18842 S Memorial Dr Ste 206
Humble, TX 773384229
Phone: (713) 426-0027
Type: Location
2920 Fannin St
Houston, TX 770029222
Phone: (713) 426-0027
Type: Location
2150, West 18th Street, Houston, Harris County, Texas, 77008, United States
300
HOUSTON, TX 770085200
Phone: (713) 426-0027
Fax: (713) 426-0211
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-06-04
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-03-31 (806 days ago).
Enrollment records
2
Earliest due date
2024-03-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20071115000320 | O | Clinic/Group Practice | TX | TBD |
| O20090604000096 | O | Federally Qualified Health Center (Fqhc) | TX | 2024-03-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77024)
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