Individual provider Active NPI

Michael DO

  • Anesthesiology Physician
  • Houston, TX
National Provider Identifier
1366853509
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
R8345 Issued in TX
Practice address
16750 Red Oak Dr
Houston, TX 77090-2543
Phone
(281) 453-7110
NPI assigned
May 9, 2014
Last updated
Oct 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X R8345 TX Primary

Addresses

Primary practice location

16750 Red Oak Dr
Houston, TX 77090-2543

Mailing address

17907 Blue Ridge Shores Dr
Cypress, TX 77433-7058
Phone (408) 887-7890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190314000301 TX Practitioner - Anesthesiology 2466722632 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15346CAMDOptometrist
R8345TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Anesthesia Providers PLLC Anesthesiology CurrentSince Nov 1, 2020 Accepting new patients
Champion Anesthesia Consultants, PLLC Anesthesiology CurrentSince Aug 1, 2021 Accepting new patients
Compass Anesthesia Providers PLLC Anesthesiology CurrentSince Feb 1, 2020 Accepting new patients
Premiercare Anesthesia Fountain Valley Inc Anesthesiology CurrentSince Aug 1, 2017 Accepting new patients

Locations

17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200

4201 Garth Rd
Ste 212
Baytown, TX 77521
Phone (281) 420-9355

11970 N Central Expy
Ste 610
Dallas, TX 75243
Phone (469) 232-9393

11990 N Central Expy
Dallas, TX 75243
Phone (469) 624-5752

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

16750 Red Oak Dr
Houston, TX 77090
Phone (281) 453-7048

2001 Hermann Dr
Houston, TX 77004
Phone (713) 285-5500

4615 Southwest Fwy
Ste 850
Houston, TX 77027
Phone (281) 475-4428

4800 Federal Plz
Houston, TX 77092
Phone (713) 462-3194

510 W Tidwell Rd
Houston, TX 77091
Phone (281) 618-8500

8901 FM 1960 Bypass Rd W
Ste 105
Humble, TX 77338
Phone (281) 592-5400

1075 Kingwood Dr
Ste 150
Kingwood, TX 77339
Phone (281) 348-0426

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

26710 Interstate 45
Ste B
Spring, TX 77386
Phone (281) 419-1117

1211 Highway 6
Sugar Land, TX 77478
Phone (281) 238-3900

1211 Highway 6
Ste 70
Sugar Land, TX 77478
Phone (281) 238-3902

2225 Williams Trace Blvd
Ste 108
Sugar Land, TX 77478
Phone (281) 240-4300

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

26710 N Freeway
Ste B100
The Woodlands, TX 77386
Phone (281) 369-9001

333 N Texas Ave
Webster, TX 77598
Phone (281) 335-1700

Interoperability endpoints

  • Direct secure messaging: michael.do.1@11939.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1366853509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17907 BLUE RIDGE SHORES DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774337058",
            "telephone_number": "408-887-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16750 RED OAK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902543",
            "telephone_number": "281-453-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-09",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "R8345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.