Individual provider Active NPI

Marlyn Generillo, M.D.

  • Family Medicine Physician
  • Pearland, TX
National Provider Identifier
1386870673
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q1151 Issued in TX
Practice address
3129 Kingsley Dr Ste 1940
Pearland, TX 77584-8511
Phone
(281) 971-0809
Fax
(949) 864-3114
NPI assigned
Jun 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 45673 KY
Family Medicine Physician 207Q00000X 4301093903 MI
Family Medicine Physician 207Q00000X Q1151 TX Primary

Addresses

Primary practice location

3129 Kingsley Dr Ste 1940
Pearland, TX 77584-8511

Mailing address

3129 Kingsley Dr Ste 1940
Pearland, TX 77584-8511
Phone (281) 971-0809

Other practice location 1

6515 Garth Rd Ste 150
Baytown, TX 77521-5628
Phone (346) 660-3366

Other identifiers 2

IdentifierTypeStateIssuer
0066982MedicaidOH
7100217820MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marlyn.generillo.1@29601.direct.athenahealth.com

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
I20141016001857 TX Practitioner - Family Practice 7012172844 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centerwell Senior Primary Care TX PAGroup PAC ID 4789950247, 111 clinicians

Practice addresses (Care Compare)

6515 Garth Rd
Suite 150
Baytown, TX 77521-5628
Phone (832) 806-6810

Hospital & facility affiliations

  • Signature Health Services Home health agency, Baytown, TX, CCN 678499
  • Houston Methodist Baytown Hospital Hospital, Baytown, TX, CCN 450424

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45673KYMDFamily Medicine Physician
4301093903MIMDFamily Medicine Physician
Q1151TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Medical Group Family Medicine CurrentSince Jan 30, 2015 Accepting new patients
Centerwell Senior Primary Care (TX) PA Family Medicine Current Accepting new patients
Centerwell Senior Primary Care (TX) PA Family Medicine CurrentSince May 12, 2025 Accepting new patients
Centerwell Senior Primary Care (TX) PA Family Medicine CurrentSince May 12, 2025 Accepting new patients
Centerwell Senior Primary Care (TX) PA Family Medicine Past Accepting new patients
J Raul Soto MD PA Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

6515 Garth Rd
Ste 150
Baytown, TX 77521
Phone (346) 660-3366

1505 E Winding Way Dr
Ste 112
Friendswood, TX 77546
Phone (281) 993-3860

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

909 Frostwood Dr
Fl 1
Houston, TX 77024

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

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

3915 Spencer Hwy
Pasadena, TX 77504
Phone (713) 265-6955

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

1227 Museum Square Dr
Ste A
Sugar Land, TX 77479
Phone (281) 265-8125

4 Professional Park Dr
Webster, TX 77598
Phone (281) 316-1000

19419 Gulf Fwy
Ste 3
Webster, TX 77598
Phone (281) 316-0885

Interoperability endpoints

  • Direct secure messaging: marlyn.generillo@centerwell.eclinicaldirectplus.com
  • Direct secure messaging: marilyng.generillo@direct.memorialhermann.org

Organizations & group practices 6

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 2

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": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1386870673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 KINGSLEY DR STE 1940",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848511",
            "telephone_number": "281-971-0809",
            "fax_number": "949-864-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 KINGSLEY DR STE 1940",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848511",
            "telephone_number": "281-971-0809",
            "fax_number": "949-864-3114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6515 Garth Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Baytown",
            "state": "TX",
            "postal_code": "775215628",
            "country_code": "US",
            "telephone_number": "346-660-3366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENERILLO",
        "first_name": "MARLYN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-02",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "45673",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301093903",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q1151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0066982",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100217820",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marlyn.generillo.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "6515 Garth Rd Ste 150",
            "city": "Baytown",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775215628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.