Individual provider Active NPI

Melanie D Degroot, M.D.

  • Pediatrics Physician
  • Richmond, TX
National Provider Identifier
1053313569
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD056443L Issued in PA
Practice address
400 Austin St
Richmond, TX 77469-4406
Phone
(281) 342-4530
Fax
(281) 341-2920
NPI assigned
Aug 15, 2005
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD056443L PA Primary

Addresses

Primary practice location

400 Austin St
Richmond, TX 77469-4406

Mailing address

400 Austin St
Richmond, TX 77469-4406
Phone (281) 342-4530

Other practice location 1

307 Texas Pkwy
Ste 100
Missouri City, TX 77489-1151
Phone (281) 969-1800

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140329000204 TX Practitioner - Pediatric Medicine 5799787180 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD056443LPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Bend Family Health Center, Inc CurrentSince Nov 1, 2013 Accepting new patients
Fort Bend Family Health Center, Inc. CurrentSince Nov 1, 2013 Accepting new patients
Fort Bend Family Health Center, Inc Past Accepting new patients

Locations

307 Texas Pkwy
Ste 100
Missouri City, TX 77489
Phone (281) 342-4530

400 Austin St
Richmond, TX 77469
Phone (281) 342-4530

Interoperability endpoints

  • Direct secure messaging: melanie.degroot@accesshealth.directbygreenway.com
  • Direct secure messaging: melanie.degroot@direct.accesshealth.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1053313569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AUSTIN ST",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774694406",
            "telephone_number": "281-342-4530",
            "fax_number": "281-344-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AUSTIN ST",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774694406",
            "telephone_number": "281-342-4530",
            "fax_number": "281-341-2920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 Texas Pkwy",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Missouri City",
            "state": "TX",
            "postal_code": "774891151",
            "country_code": "US",
            "telephone_number": "281-969-1800",
            "fax_number": "281-969-1790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGROOT",
        "first_name": "MELANIE",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD056443L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.