Active NPI
Michaela Elizabeth Ginn, MD
- Internal Medicine Physician
- Houston, TX
National Provider Identifier
1003007287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- N8098
- Practice address
- 13214 Indian Creek Road
Houston, TX 77079 - Phone
- (713) 591-3555
- Fax
- (661) 321-3286
- NPI assigned
- Aug 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 77631 | GA | |
| Internal Medicine Physician | 207R00000X | 224626 | NC | |
| Internal Medicine Physician | 207R00000X | 35.130643 | OH | |
| Internal Medicine Physician | 207R00000X | 67083-20 | WI | |
| Internal Medicine Physician | 207R00000X | N8098 | TX | Primary |
| Internal Medicine Physician | 207R00000X | A111803 | CA |
Addresses
Primary practice location
13214 Indian Creek Road
Houston, TX 77079
Mailing address
14207 Memorial Drive
#278
Houston, TX 77079
Phone (713) 591-3555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4651532834 | Other | MYUTMB 4651532834 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 11, 2020 through May 11, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A111803 | CA | MD | Internal Medicine Physician |
| 77631 | GA | MD | Internal Medicine Physician |
| 224626 | NC | MD | Internal Medicine Physician |
| 35.130643 | OH | MD | Internal Medicine Physician |
| 67083-20 | WI | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591315200000",
"number": "1003007287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14207 MEMORIAL DRIVE",
"address_2": "#278",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77079",
"telephone_number": "713-591-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13214 INDIAN CREEK ROAD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77079",
"telephone_number": "713-591-3555",
"fax_number": "661-321-3286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GINN",
"first_name": "MICHAELA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-05",
"last_updated": "2020-06-05",
"certification_date": "2020-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "77631",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "224626",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.130643",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "67083-20",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "N8098",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A111803",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MYUTMB 4651532834",
"identifier": "4651532834",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.