NPIMap

Individual provider Active NPI

Deirdre McMullen, M.D.

  • Family Medicine Physician
  • Missouri City, TX
National Provider Identifier
1043206733
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K5622 Issued in TX
Practice address
3281 Rocky Creek Dr
Suite 500
Missouri City, TX 77459-4750
Phone
(281) 206-0068
Fax
(281) 499-5045
NPI assigned
Sep 27, 2005
Last updated
May 5, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K5622 TX Primary

Addresses

Primary practice location

3281 Rocky Creek Dr
Suite 500
Missouri City, TX 77459-4750

Mailing address

3281 Rocky Creek Dr
Suite 500
Missouri City, TX 77459-4750
Phone (281) 206-0068

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041123000815 TX Practitioner - Family Practice 9234194119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3281 Rocky Creek Dr
Suite 500
Missouri City, TX 77459-4756
Phone 2812060068103

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K5622TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Health System Family Medicine Past Accepting new patients
Rocky Creek Integrated Medical & Wellness Center, LLC Family Medicine PastSince Mar 1, 2023 Accepting new patients
Memorial Hermann Health System Past Accepting new patients
Oakbend Medical Group Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: deirdre.mcmullen@mcde.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EAAGCA/Endpoint/EAAGCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/FHCADD/Endpoint/FHCADD

Organizations & group practices 6

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

Hospital & facility affiliations 8

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1043206733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3281 ROCKY CREEK DR",
            "address_2": "SUITE 500",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594750",
            "telephone_number": "281-206-0068",
            "fax_number": "281-499-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3281 ROCKY CREEK DR",
            "address_2": "SUITE 500",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594750",
            "telephone_number": "281-206-0068",
            "fax_number": "281-499-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLEN",
        "first_name": "DEIRDRE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K5622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.