Active NPI
Pamela Louisa Medellin, MD
- Medical Oncology Physician
- Baytown, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- E8714
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 97689603 | Medicaid | TX | |
| 97689604 | Medicaid | TX | |
| 8S3356 | Other | TX | BLUE 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- University of Texas Medical Branch at Galveston, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Medical Oncology | Current | Accepting new patients |
| Texas Oncology PA | Medical Oncology | Current | Accepting new patients |
| Texas Oncology PA | Medical Oncology | Current | Accepting new patients |
| Texas Oncology PA | Medical Oncology | Current | 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
- 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.
-
- Medical Oncology Physician
- El Paso, TX
- NPI 1811944101
-
- Medical Oncology Physician
- Dallas, TX
- NPI 1003083445
-
- Medical Oncology Physician
- Webster, TX
- NPI 1821265265
-
- Medical Oncology Physician
- Pearland, TX
- NPI 1912174350
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baytown, TX
- NPI 1891789772
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.