NPIMap

Individual provider Active NPI

Kelly Dresser Mullman, P.A.

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1225326473
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA07158 Issued in TX
Practice address
915 Gessner Rd Ste 750
Houston, TX 77024-2574
Phone
(713) 333-6900
Fax
(713) 333-6919
NPI assigned
Jul 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2098 OK
Physician Assistant 363A00000X PA07158 TX Primary

Addresses

Primary practice location

915 Gessner Rd Ste 750
Houston, TX 77024-2574

Mailing address

915 Gessner Rd Ste 750
Houston, TX 77024-2574
Phone (713) 333-6900

Other identifiers 2

IdentifierTypeStateIssuer
1225326473OtherTXBLUE CROSS BLUE SHIELD
284127201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110916000148 TX Practitioner - Physician Assistant 4385815653 Reassigns benefits to 1 organization
I20120530000262 OK Practitioner - Physician Assistant 4385815653 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MHS Physicians of TexasGroup PAC ID 1557254968, 113 clinicians

Practice addresses (Care Compare)

17510 W Grand Pkwy S
Suite 330
Sugar Land, TX 77479-2648
Phone (281) 238-3770

18955 N Memorial Dr
Suite 360
Humble, TX 77338-4396
Phone (281) 319-8530

915 Gessner Rd
Suite 750
Houston, TX 77024-2574
Phone (713) 333-6900

9180 Pinecroft Dr
Suite 500
Shenandoah, TX 77380-3883
Phone (713) 897-5900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2098OKMDMarriage & Family Therapist
PA07158TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Dec 4, 2016 Accepting new patients
MHS Physicians of Texas CurrentSince Nov 29, 2021 Accepting new patients
TMH Physician Associates PLLC Past Accepting new patients
St. John Physicians, Inc. Past Accepting new patients

Locations

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523

915 Gessner Rd
Ste 750
Houston, TX 77024
Phone (713) 333-6900

18955 N Memorial Dr
Ste 360
Humble, TX 77338
Phone (281) 319-8530

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

17510 W Grand Pkwy S
Ste 330
Sugar Land, TX 77479
Phone (281) 238-3770

Interoperability endpoints

  • Direct secure messaging: kmullman66384@memorialhermann.direct-ci.com

Organizations & group practices 5

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 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": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1225326473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 GESSNER RD STE 750",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242574",
            "telephone_number": "713-333-6900",
            "fax_number": "713-333-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 GESSNER RD STE 750",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242574",
            "telephone_number": "713-333-6900",
            "fax_number": "713-333-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLMAN",
        "first_name": "KELLY",
        "middle_name": "DRESSER",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2098",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1225326473",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284127201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.