Christopher Robert Donnelly

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA17701 Issued in TX

Practice address

6401 Cypresswood Dr Ste 180
Spring, TX 77379-8065

Phone

(281) 866-7080

NPI assigned

Dec 21, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844
• Tops Surgical Specialty Hospital Hospital, Houston, TX, CCN 450774

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: christopher.donnelly.1@13711.direct.athenahealth.com

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.

• Villagemd of Southeast Texas, PA

  • Family Medicine Physician
  • Houston, TX
  • NPI 1841643327
  Medicare reassignment Care Compare group
• Legacy Healthcare Services Inc.

  • Physical Therapist
  • Cedar Park, TX
  • NPI 1871132357
  Care Compare group
• Village Family Practice, L.L.P

  • Family Medicine Physician
  • Houston, TX
  • NPI 1083619191
  NPD

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

• Methodist Health Centers

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1871619254
  Care Compare affiliation
• Tops Specialty Hospital, LTD.

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1144203662
  Care Compare affiliation

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1053180836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 CYPRESSWOOD DR STE 180",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773798065",
            "telephone_number": "281-866-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 CYPRESSWOOD DR STE 180",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773798065",
            "telephone_number": "281-866-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "CHRISTOPHER",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-21",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlene Celeste Donald Kennedy, COTA
• Donald W Smith MD PA
• Kennedie Donaway
• James H Donelson, DDS
• Yolnicte Donis
• Lindsay Vicknair Dornier, LCSW
• Jay K Doshi, D.D.S.
• Rachel A Dottin-Poon, DPT
• Justin Robert Douglass, O.D.
• Jacqueline Allison Dowell, OTR

• Physician Assistant in Spring, TX
• Providers in Spring, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.