NPIMap

Individual provider Active NPI

Micah James Knobles, M.D.

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1144668831
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
Q8273 Issued in TX
Practice address
1941 East Rd
Houston, TX 77054-6010
Phone
(713) 486-2570
Fax
(713) 486-2565
NPI assigned
Jun 5, 2013
Last updated
Apr 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X Q8273 TX Primary
Child & Adolescent Psychiatry Physician 2084P0804X Q8273 TX

Addresses

Primary practice location

1941 East Rd
Houston, TX 77054-6010

Mailing address

1941 East Rd
Houston, TX 77054-6010
Phone (713) 486-2570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170601001464 TX Practitioner - Psychiatry 4789951310 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q8273TXMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Psychiatry CurrentSince Jul 1, 2018 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center CurrentSince Apr 1, 2018 Accepting new patients
Ut Physicians CurrentSince Jul 1, 2018 Accepting new patients
Burke Center Psychiatry CurrentSince May 22, 2017 Accepting new patients
Bluebonnet Trails Community MHMR Center CurrentSince Jul 18, 2017 Accepting new patients
Heart of Texas Region MHMR Center CurrentSince May 1, 2017 Accepting new patients
Bluebonnet Trails Community MHMR Center Psychiatry CurrentSince Jul 18, 2017 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center Psychiatry CurrentSince Apr 1, 2018 Accepting new patients
Texana Center CurrentSince Dec 5, 2017 Accepting new patients
Access Telecare, PLLC Psychiatry Past Accepting new patients
University of Texas Health Science Center at Houston Past Accepting new patients

Locations

1165 Airport Blvd
Austin, TX 78702
Phone (512) 703-1312

1430 Collier St
Austin, TX 78704
Phone (512) 427-4357

6600 E Ben White Blvd
Austin, TX 78741
Phone (512) 804-3740

1615 Hillendahl Blvd
Ste 100
Houston, TX 77055
Phone 7134626565125

1941 East Rd
Houston, TX 77054
Phone (713) 486-2500

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

2001 S Medford Dr
Lufkin, TX 75901
Phone (936) 633-5672

4910 Airport Ave
Ste D
Rosenberg, TX 77471
Phone (281) 239-1300

1009 N Georgetown St
Round Rock, TX 78664
Phone (512) 244-8374

110 S 12th St
Waco, TX 76701
Phone (254) 297-7124

Interoperability endpoints

  • Direct secure messaging: mknobles16141@direct.uth.org

Organizations & group practices 12

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": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1144668831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 EAST RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770546010",
            "telephone_number": "713-486-2570",
            "fax_number": "713-486-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 EAST RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770546010",
            "telephone_number": "713-486-2570",
            "fax_number": "713-486-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOBLES",
        "first_name": "MICAH",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-05",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "Q8273",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "Q8273",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.