Individual provider Active NPI

Pamela Louisa Medellin, MD

  • Medical Oncology Physician
  • Baytown, TX
National Provider Identifier
1144268087
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
E8714 Issued in TX
Practice address
1025 Birdsong Dr Ste C
Baytown, TX 77521-3205
Phone
(281) 427-7298
Fax
(281) 427-3758
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X E8714 TX Primary

Addresses

Primary practice location

1025 Birdsong Dr Ste C
Baytown, TX 77521-3205

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other practice location 1

4021 Garth Rd
Suite 101
Baytown, TX 77521-3160
Phone (281) 427-7298

Other identifiers 3

IdentifierTypeStateIssuer
97689603MedicaidTX
97689604MedicaidTX
8S3356OtherTXBLUE CROSS OF TX

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
I20050804000816 TX Practitioner - Medical OncologyPractitioner - Internal Medicine 3870522451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Internal Medicine
Education
University of Texas Medical Branch at Galveston, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

1025 Birdsong Dr
Suite C
Baytown, TX 77521-3205
Phone (281) 427-7298

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA Medical Oncology Current Accepting new patients
Texas Oncology PA Medical Oncology CurrentSince Aug 1, 2005 Accepting new patients
Texas Oncology PA Medical Oncology Current Accepting new patients
Texas Oncology PA Medical Oncology CurrentSince Aug 1, 2005 Accepting new patients

Locations

1025 Birdsong Dr
Ste C
Baytown, TX 77521
Phone (281) 427-7298

4021 Garth Rd
Ste 101
Baytown, TX 77521
Phone (281) 420-7211

3070 College St
Ste 301
Beaumont, TX 77701
Phone (409) 813-1686

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

7737 Southwest Fwy
Ste 575
Houston, TX 77074
Phone (713) 275-3261

925 Gessner Rd
Ste 550
Houston, TX 77024
Phone (713) 467-1722

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

3415 S Loop 256
Palestine, TX 75801
Phone (903) 727-2200

4000 Spencer Hwy
#200
Pasadena, TX 77504
Phone (713) 378-0330

Interoperability endpoints

  • Direct secure messaging: pamela.medellin@txo.ikm.direct-ci.com

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 1

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1144268087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-437-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 BIRDSONG DR STE C",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213205",
            "telephone_number": "281-427-7298",
            "fax_number": "281-427-3758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4021 Garth Rd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Baytown",
            "state": "TX",
            "postal_code": "775213160",
            "country_code": "US",
            "telephone_number": "281-427-7298",
            "fax_number": "281-427-3785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDELLIN",
        "first_name": "PAMELA",
        "middle_name": "LOUISA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "TX",
            "license": "E8714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97689603",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97689604",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF TX",
            "identifier": "8S3356",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.