Individual provider Active NPI

Derrick A Mitchell, M.D.

  • Emergency Medicine Physician
  • Houston, TX
National Provider Identifier
1447230685
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
M0828 Issued in TX
Practice address
10130 Louetta Rd
Suite L
Houston, TX 77070-2118
Phone
(281) 301-3130
Fax
(281) 301-3134
NPI assigned
Jan 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X M0828 TX Primary

Addresses

Primary practice location

10130 Louetta Rd
Suite L
Houston, TX 77070-2118

Mailing address

10130 Louetta Rd
Suite L
Houston, TX 77070-2118
Phone (281) 301-3130

Other identifiers 4

IdentifierTypeStateIssuer
8J9907OtherTXBCBSTX PROV NO
175406101MedicaidTX
P00251027OtherTXRAILROAD MEDICARE PROV NO
175406102MedicaidTX

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
I20050804000356 TX Practitioner - Emergency Medicine 4082643606 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Johns Hopkins University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10130 Louetta Rd
Suite L
Houston, TX 77070-2116

Hospital & facility affiliations

  • St Luke'S the Woodlands Hospital Hospital, The Woodlands, TX, CCN 450862
  • CHI St Lukes Lakeside Hospital Hospital, The Woodlands, TX, CCN 670059

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
Round Table Physicians Group PLLC CurrentSince Feb 1, 2025 Accepting new patients
Round Table Specialist Group, PLLC Emergency Medicine Current Accepting new patients
Medella Urgent Care, PLLC CurrentSince Sep 1, 2016 Accepting new patients
St Joseph Emergency Physicians PLLC Emergency Medicine CurrentSince Dec 1, 2011 Accepting new patients
St Joseph Emergency Physicians PLLC Emergency Medicine Current Accepting new patients
Medical Center Emergency Physicians PA Emergency Medicine Past Accepting new patients
Brazos Valley Emergency Physicians PA Emergency Medicine Past Accepting new patients
Bellville Hospital District Emergency Medicine Past Accepting new patients

Locations

5701 W Slaughter Ln
Bldg G
Austin, TX 78749
Phone (512) 651-5787

1014 Wirt Rd
Ste 200
Houston, TX 77055
Phone (713) 527-5000

10130 Louetta Rd
Ste L
Houston, TX 77070
Phone (281) 301-3130

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

11103 Westheimer Rd
Houston, TX 77042
Phone (832) 708-3651

7200 Cambridge St
#B
Houston, TX 77030
Phone (713) 798-3498

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

800 W Central Texas Expy
Killeen, TX 76541
Phone (254) 220-4117

18535 FM 1488 Rd
Magnolia, TX 77354
Phone (281) 356-6103

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

17400 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-4055

Organizations & group practices 9

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": "1137801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1447230685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10130 LOUETTA RD",
            "address_2": "SUITE L",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770702118",
            "telephone_number": "281-301-3130",
            "fax_number": "281-301-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10130 LOUETTA RD",
            "address_2": "SUITE L",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770702118",
            "telephone_number": "281-301-3130",
            "fax_number": "281-301-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "DERRICK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-21",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M0828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX PROV NO",
            "identifier": "8J9907",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175406101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROV NO",
            "identifier": "P00251027",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175406102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.