Individual provider Active NPI

Melinda Guerry, PA

  • Internal Medicine Physician
  • Spring, TX
National Provider Identifier
1275921579
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
PA09559 Issued in TX
Practice address
2255 E Mossy Oaks Rd
Ste 680
Spring, TX 77389-1812
Phone
(281) 537-0300
Fax
(832) 381-2062
NPI assigned
Jan 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA09559 TX
Pediatrics Physician 208000000X PA09559 TX
Physician Assistant 363A00000X PA09559 TX
Internal Medicine Physician 207R00000X PA09559 TX Primary

Addresses

Primary practice location

2255 E Mossy Oaks Rd
Ste 680
Spring, TX 77389-1812

Mailing address

2255 E Mossy Oaks Rd
Ste 680
Spring, TX 77389-1812
Phone (281) 537-0300

Other practice location 1

13215 Dotson Rd Ste 160
Houston, TX 77070-4535
Phone (281) 537-0300

Other identifiers 1

IdentifierTypeStateIssuer
PA09559OtherTXMEDICAL LICENSE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150702001156 TX Practitioner - Physician Assistant 2062723349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Medical Branch at Galveston, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cypress Physicians AssociationGroup PAC ID 0446272850, 7 clinicians

Practice addresses (Care Compare)

13215 Dotson Rd
Suite 160
Houston, TX 77070-4535
Phone (281) 537-0300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA09559TXMDInternal Medicine Physician

Organizations & group practices 1

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1275921579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 E MOSSY OAKS RD",
            "address_2": "STE 680",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773891812",
            "telephone_number": "281-537-0300",
            "fax_number": "832-381-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 E MOSSY OAKS RD",
            "address_2": "STE 680",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773891812",
            "telephone_number": "281-537-0300",
            "fax_number": "832-381-2062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13215 Dotson Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770704535",
            "country_code": "US",
            "telephone_number": "281-537-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRY",
        "first_name": "MELINDA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-08",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "PA09559",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "PA09559",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09559",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "PA09559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PA09559",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.