Individual provider Active NPI

Malia Setsuyo Myers, M.D.

  • Emergency Medicine Physician
  • Houston, TX
National Provider Identifier
1023338100
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
BP10037419 Issued in TX
Practice address
1709 Dryden Rd # 5.70
Houston, TX 77030-2400
Phone
(713) 798-0190
NPI assigned
Jun 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X BP10037419 TX Primary

Addresses

Primary practice location

1709 Dryden Rd # 5.70
Houston, TX 77030-2400

Mailing address

4000 Essex LN Apt 5102
Houston, TX 77027-8113

Other names 1

  • Malia Setsuyo Bender Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151019000851 AL Practitioner - General Practice 7113151010 Reassigns benefits to 1 organization
I20170523002380 TX Practitioner - Emergency Medicine 7113151010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical School at San Antonio, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Century Integrated Partners, IncGroup PAC ID 6406151703, 330 clinicians

Practice addresses (Care Compare)

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-0111

Hospital & facility affiliations

  • Baylor Scott & White the Heart Hospital Plano Hospital, Plano, TX, CCN 670025
  • Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890

Merit-based Incentive Payment System (MIPS)

Final score
99.43 of 100Reported as group
Quality
93.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10037419TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC CurrentSince Sep 6, 2015 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Mar 25, 2017 Accepting new patients
American Family Care, LLC Current Accepting new patients
American Family Care, LLC CurrentSince Sep 6, 2015 Accepting new patients

Locations

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

3500 Gaston Ave
Dallas, TX 75246

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1023338100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 ESSEX LN APT 5102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770278113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 DRYDEN RD # 5.70",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302400",
            "telephone_number": "713-798-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "MALIA",
        "middle_name": "SETSUYO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "BP10037419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALIA",
            "last_name": "BENDER",
            "middle_name": "SETSUYO",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.