NPIMap

Individual provider Active NPI

Mark Lynn Nichols, MD

  • Otology & Neurotology Physician
  • Houston, TX
National Provider Identifier
1215910732
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
H3922 Issued in TX
Practice address
915 Gessner Rd
#280
Houston, TX 77024-2527
Phone
(713) 461-2626
Fax
(713) 984-1703
NPI assigned
Nov 29, 2005
Last updated
Oct 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology Physician 207YX0901X H3922 TX Primary

Addresses

Primary practice location

915 Gessner Rd
#280
Houston, TX 77024-2527

Mailing address

14140 Southwest Fwy Ste 200
Sugar Land, TX 77478-3842
Phone (281) 649-7000

Other identifiers 2

IdentifierTypeStateIssuer
116661302MedicaidTX
TXB166198OtherTXMEDICARE - GROUP

Other names 1

  • M. Lynn Nichols Other name

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
I20100405000039 TX Practitioner - Otolaryngology 2466486014 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Texas Medical Branch at Galveston, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Ear Nose and Throat Clinic LLPGroup PAC ID 3678569860, 31 clinicians
ENT and Allergy Associates of Texas PLLCGroup PAC ID 3870079429, 31 clinicians

Practice addresses (Care Compare)

915 Gessner Rd
Suite 280
Houston, TX 77024-2535
Phone (713) 461-2626

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.5 of 100Reported as group
Quality
64.9
Promoting interoperability
73
Improvement activities
40
Cost
75.92

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Ear Nose & Throat Clinic LLP CurrentSince Sep 20, 2012 Accepting new patients
ENT and Allergy Associates of Texas PLLC Otology & Neurotology CurrentSince Jan 1, 2026 Accepting new patients

Locations

9494 Southwest Fwy
Ste 850
Houston, TX 77074
Phone (281) 649-7000

915 Gessner Rd
Ste 280
Houston, TX 77024
Phone (713) 461-2626

7789 Southwest Fwy
Ste 470
Houston, TX 77074
Phone (281) 649-7000

18300 Katy Fwy
Ste 605
Houston, TX 77094
Phone (281) 578-1910

22999 Highway 59 N
Ste 400
Kingwood, TX 77339
Phone (281) 358-2314

10905 Memorial Hermann Dr
Ste 111
Pearland, TX 77584
Phone (281) 929-4727

14140 Southwest Fwy
Ste 200
Sugar Land, TX 77478
Phone (281) 649-7000

Interoperability endpoints

  • Direct secure messaging: mark.nicholsmd.p1@direct.hent.nextgenshare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1215910732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14140 SOUTHWEST FWY STE 200",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783842",
            "telephone_number": "281-649-7000",
            "fax_number": "713-484-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 GESSNER RD",
            "address_2": "#280",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242527",
            "telephone_number": "713-461-2626",
            "fax_number": "713-984-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "MARK",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "TX",
            "license": "H3922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116661302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - GROUP",
            "identifier": "TXB166198",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M. LYNN",
            "last_name": "NICHOLS",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.