Your Medical Home – Multi-Specialty Clinic/Center, NPI 1811495575
Multi-Specialty Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Your Medical Home
1650 TEXAS AVE STE E
BRIDGE CITY, TX 776113501
Phone: (833) 698-6825
Type: Location
101 S Prairie St Ste D
Dayton, TX 775352819
Phone: (936) 257-5037
Fax: (936) 257-5117
Type: Location
3565 College St
Beaumont, TX 777014615
Phone: (409) 345-3565
Type: Location
8035 Memorial Blvd Ste B
Port Arthur, TX 776407002
Phone: (409) 344-9277
Fax: (409) 344-9355
Type: Location
Memorial Boulevard, Port Arthur, Jefferson County, Texas, 77642, United States
PORT ARTHUR, TX 77640
Phone: (409) 344-9277
Fax: (409) 344-9355
Type: Location
Bridge City, Orange County, Texas, 77611, United States
BRIDGE CITY, TX 776113501
Phone: (409) 792-5521
Fax: (409) 792-5523
Type: Mailing
1650 TEXAS AVE STE B
BRIDGE CITY, TX 776113501
Phone: (833) 698-6825
Type: Location
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: 2018-05-23
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-04-30 (776 days ago).
Enrollment records
1
Earliest due date
2024-04-30
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 |
|---|---|---|---|---|
| O20180523001172 | O | Clinic/Group Practice | TX | 2024-04-30 |
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 77611)
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Reviews
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