Individual provider Active NPI

Michael R McLeod, M.D.

  • Family Medicine Physician
  • Crockett, TX
National Provider Identifier
1104897750
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K8334 Issued in TX
Practice address
951 E Loop 304
Crockett, TX 75835-5403
Phone
(936) 655-0500
Fax
(936) 873-8910
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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 K8334 TX Primary

Addresses

Primary practice location

951 E Loop 304
Crockett, TX 75835-5403

Mailing address

951 E Loop 304
Crockett, TX 75835-5403
Phone (936) 655-0500

Other practice location 1

501 E Colorado St
Victoria, TX 77901-6025
Phone (361) 579-8300

Other practice location 2

2806 N Navarro St
Ste D
Victoria, TX 77901-3937
Phone (361) 541-6365

Other identifiers 2

IdentifierTypeStateIssuer
092372405MedicaidTX
092372403MedicaidTX

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
I20040525000291 TX Practitioner - Family PracticePractitioner - Emergency MedicinePractitioner - Obstetrics/Gynecology 7719968056 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Southwestern Medical School at Dallas, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Family Doctor PAGroup PAC ID 3577940923, 2 clinicians

Practice addresses (Care Compare)

1122 E Loop
Suite 304
Crockett, TX 75835-1810
Phone (936) 655-0500

Hospital & facility affiliations

  • Traditions Health Home health agency, Madisonville, TX, CCN 747834
  • Angels Care Home Health Home health agency, Palestine, TX, CCN 458433
  • Reliant at Home Home health agency, Lufkin, TX, CCN 747328
  • Enhabit Home Health Home health agency, Palestine, TX, CCN 678197
  • A Pineywoods Home Health Care Inc Home health agency, Lufkin, TX, CCN 677545
  • Crockett Medical Center Hospital, Crockett, TX, CCN 451393
  • Palestine Regional Medical Center Hospital, Palestine, TX, CCN 450747
  • CHI St Lukes Health Memorial Lufkin Hospital, Lufkin, TX, CCN 450211
  • Aspire Hospital Hospital, Conroe, TX, CCN 670093
  • Huntsville Memorial Hospital Hospital, Huntsville, TX, CCN 450347
  • Whitehall Rehab & Nursing Nursing home, Crockett, TX, CCN 675624

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions29
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K8334TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brazos Valley Emergency Physicians PA CurrentSince Aug 1, 2017 Accepting new patients
Texas Family Doctor, PA Family Medicine CurrentSince Mar 15, 2022 Accepting new patients
Trusted Hearts Health Services, PLLC Family Medicine CurrentSince Mar 19, 2024 Accepting new patients
Bryan Emergency Physicians PA CurrentSince Aug 1, 2017 Accepting new patients
Travis County Emergency Physicians PA CurrentSince Jan 1, 2018 Accepting new patients

Locations

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

951 E Loop 304
Crockett, TX 75835
Phone (936) 545-9030

1122 E Loop 304
Crockett, TX 75835
Phone (936) 544-2157

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

1751 Crystal Falls Pkwy
Leander, TX 78641
Phone (512) 528-7000

130 Hays St
Luling, TX 78648
Phone (830) 875-7000

1613 E Main St
Madisonville, TX 77864
Phone (936) 348-7900

1613 E Main St
Ste C
Madisonville, TX 77864
Phone (936) 241-5060

210 S Judson St
Navasota, TX 77868
Phone (936) 825-6585

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

Interoperability endpoints

  • Direct secure messaging: michael.mcleod@667987613188100.direct.elationemr.com
  • Direct secure messaging: michaelmcleod@dmdclinic.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/HACEDD/Endpoint/HACEDD

Organizations & group practices 5

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1104897750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 E LOOP 304",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758355403",
            "telephone_number": "936-655-0500",
            "fax_number": "936-873-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 E LOOP 304",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758355403",
            "telephone_number": "936-655-0500",
            "fax_number": "936-873-8910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 E Colorado St",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "TX",
            "postal_code": "779016025",
            "country_code": "US",
            "telephone_number": "361-579-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2806 N NAVARRO ST",
            "address_2": "STE D",
            "address_purpose": "LOCATION",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779013937",
            "country_code": "US",
            "telephone_number": "361-541-6365",
            "fax_number": "361-333-1602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K8334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092372405",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092372403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crockett, TX

Sources for this page

Verify at the official NPI Registry.