Organization Active NPI

Generillomd

  • Adult Medicine Physician
  • Pearland, TX
National Provider Identifier
1205726585
Registry record updated Jul 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
GENERILLOMD
Practice address
3129 Kingsley Dr Ste 1940
Pearland, TX 77584-8511
Phone
(281) 971-0809
NPI assigned
Jul 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2025

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

Authorized official

Name
Dr. Marlyn Generillo, MD
Title
Physician
Phone
(248) 284-3359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

3129 Kingsley Dr Ste 1940
Pearland, TX 77584-8511

Mailing address

1031 Bolivar Point LN
Friendswood, TX 77546-7892

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752969600000",
    "number": "1205726585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 BOLIVAR POINT LN",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775467892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 KINGSLEY DR STE 1940",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848511",
            "telephone_number": "281-971-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERILLOMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-20",
        "certification_date": "2025-07-20",
        "status": "A",
        "authorized_official_last_name": "GENERILLO",
        "authorized_official_first_name": "MARLYN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-284-3359",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.