Individual provider Active NPI

Michael Wollner, MD

  • Hospitalist Physician
  • Sugar Land, TX
National Provider Identifier
1477588192
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
L3528 Issued in TX
Practice address
14023 Southwest Fwy
Sugar Land, TX 77478
Phone
(281) 325-4100
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A88300 CA
Emergency Medicine Physician 207P00000X L3528 TX
Family Medicine Physician 207Q00000X L3528 TX
Hospitalist Physician 208M00000X L3528 TX Primary

Addresses

Primary practice location

14023 Southwest Fwy
Sugar Land, TX 77478

Mailing address

909 Frostwood Dr Ste 1.100
Houston, TX 77024-2301
Phone (713) 338-4523

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
I20090303000284 TX Practitioner - HospitalistPractitioner - Family Practice 7416915202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Baylor College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hermann Medical GroupGroup PAC ID 7012008360, 760 clinicians

Practice addresses (Care Compare)

7600 Beechnut St
Houston, TX 77074-4302

915 Gessner Rd
Suite 100
Houston, TX 77024-2537
Phone (713) 242-2222

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A88300CAMDEmergency Medicine Physician
L3528TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Medical Group Family Medicine CurrentSince Aug 14, 2017 Accepting new patients
Memorial Hermann Health System Past Accepting new patients
Memorial Hermann Neighborhood Health Centers, PLLC Family Medicine Past Accepting new patients
MHS Physicians of Texas Family Medicine Past Accepting new patients

Locations

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

6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200

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

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

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

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

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

14023 Southwest Fwy
Sugar Land, TX 77478
Phone (281) 325-4100

14023 Southwest Fwy
Ste B
Sugar Land, TX 77478
Phone (281) 325-4100

14023 Southwest Fwy
Ste A
Sugar Land, TX 77478
Phone (281) 325-4100

Organizations & group practices 4

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 6

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1477588192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 FROSTWOOD DR STE 1.100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242301",
            "telephone_number": "713-338-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14023 SOUTHWEST FWY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77478",
            "telephone_number": "281-325-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLNER",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A88300",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L3528",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L3528",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "L3528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.