Individual provider Active NPI

Michael Joe Whiteley, D.O.

  • Family Medicine Physician
  • Tomball, TX
National Provider Identifier
1295720795
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F2109 Issued in TX
Practice address
29214 Quinn Rd
Tomball, TX 77375-4486
Phone
(281) 351-4208
Fax
(281) 351-5417
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F2109 TX Primary

Addresses

Primary practice location

29214 Quinn Rd
Tomball, TX 77375-4486

Mailing address

29214 Quinn Rd
Tomball, TX 77375-4486
Phone (281) 351-4208

Other identifiers 5

IdentifierTypeStateIssuer
45DO8899310OtherTXCLIA #
0718145OtherTXNAIS #
032573001MedicaidTX
F2109OtherTXSTATE LICENSE
H0048255OtherTXDPS #

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040612000500 TX Practitioner - Family PracticePractitioner - General Practice 2163405713 Practice locations: Tomball, TX

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
University of North Texas HSC, College of Osteopathic Med, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

29214 Quinn Rd
Tomball, TX 77375-4486
Phone (281) 351-4208

Hospital & facility affiliations

  • Tomball Regional Home Health Home health agency, Tomball, TX, CCN 458148
  • Phoenix Healthcare Services, Inc Home health agency, Houston, TX, CCN 679498
  • HCA Houston Healthcare Tomball Hospital, Tomball, TX, CCN 450670

Merit-based Incentive Payment System (MIPS)

Final score
99.26 of 100Reported as individual
Quality
98.52
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: michael.whiteley@tomballfamilicare.eclinicaldirectplus.com

Hospital & facility affiliations 3

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1295720795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29214 QUINN RD",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754486",
            "telephone_number": "281-351-4208",
            "fax_number": "281-351-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29214 QUINN RD",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754486",
            "telephone_number": "281-351-4208",
            "fax_number": "281-351-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITELEY",
        "first_name": "MICHAEL",
        "middle_name": "JOE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F2109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA #",
            "identifier": "45DO8899310",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAIS #",
            "identifier": "0718145",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032573001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "F2109",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS #",
            "identifier": "H0048255",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.