Organization Active NPI

Creekside Premier Medical Group PLLC

  • Hematology & Oncology Physician
  • Tomball, TX
National Provider Identifier
1487217006
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
CREEKSIDE PREMIER MEDICAL GROUP PLLC
Practice address
26940 Kuykendahl Rd Ste 200B
Tomball, TX 77375-3533
Phone
(346) 522-2550
NPI assigned
Apr 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
David P Ellent, MDNPI 1427081710
Title
President
Phone
(281) 440-5300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VF0040X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X

Addresses

Primary practice location

26940 Kuykendahl Rd Ste 200B
Tomball, TX 77375-3533

Mailing address

2255 E Mossy Oaks Rd Ste 500
Spring, TX 77389-1813
Phone (281) 440-5300

Other practice location 1

24727 State Highway 249 # 120B
Tomball, TX 77375-7877
Phone (346) 522-2550

Other practice location 2

130 Medical Center Pkwy Ste 6B
Huntsville, TX 77340-4943
Phone (346) 522-2550

Other practice location 3

1710 W Lake Houston Pkwy Ste 260B
Kingwood, TX 77339-2571
Phone (346) 522-2550

Other practice location 4

3466 Discovery Creek Blvd Ste 600
Spring, TX 77386-7129
Phone (346) 522-2550

Other practice location 5

790 Generations Dr Ste 500B
New Braunfels, TX 78130-2613
Phone (346) 522-2550

Other practice location 6

2255 E Mossy Oaks Rd Ste 500
Spring, TX 77389-1813
Phone (346) 522-2550

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2322098Creekside Premier Medical Group26940 Kuykendahl Rd Suite 200 B, Tomball, TX 77375Certificate of waiverApr 14, 2027
45D2322100Creekside Premier Medical Group130 Medical Center Pkwy, Suite 6B, Huntsville, TX 77340Certificate of waiverApr 14, 2027
45D2322103Creekside Premier Medical Group3466 Discovery Creek Blvd # 500B, Spring, TX 77386Certificate of waiverApr 14, 2027
45D2322109Creekside Premier Medical Group1710 W Lake Houston Pkwy, Suite 260B, Kingwood, TX 77339Certificate of waiverApr 14, 2027
45D2322110Creekside Premier Medical Group2255 East Mossy Oaks Rd, Suite 500B, Spring, TX 77389Certificate of waiverApr 14, 2027
45D2327177Creekside Premier Medical Group2255 E Mossy Oaks Rd, Suite 500, Spring, TX 77389Certificate of waiverJul 16, 2027

National Provider Directory

National Provider Directory

Locations

130 Medical Center Pkwy
Ste 6B
Huntsville, TX 77340
Phone (346) 522-2550

1710 W Lake Houston Pkwy
Ste 260B
Kingwood, TX 77339
Phone (346) 522-2550

790 Generations Dr
Ste 500B
New Braunfels, TX 78130
Phone (346) 522-2550

3466 Discovery Creek Blvd
Ste 600
Spring, TX 77386
Phone (324) 926-5448

3466 Discovery Creek Blvd
Ste 600B
Spring, TX 77386
Phone (346) 522-2550

24727 State Highway 249
#120B
Tomball, TX 77375
Phone (346) 522-2550

24727 State Highway 249
Ste 120B
Tomball, TX 77375
Phone (346) 522-2550

26940 Kuykendahl Rd
Ste 200B
Tomball, TX 77375
Phone (346) 522-2550

26940 Kuykendahl Rd
Ste B
Tomball, TX 77375
Phone (346) 522-2550

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1487217006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 E MOSSY OAKS RD STE 500",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773891813",
            "telephone_number": "281-440-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26940 KUYKENDAHL RD STE 200B",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753533",
            "telephone_number": "346-522-2550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24727 State Highway 249 # 120B",
            "address_purpose": "LOCATION",
            "city": "Tomball",
            "state": "TX",
            "postal_code": "773757877",
            "country_code": "US",
            "telephone_number": "346-522-2550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Medical Center Pkwy Ste 6B",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "TX",
            "postal_code": "773404943",
            "country_code": "US",
            "telephone_number": "346-522-2550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1710 W Lake Houston Pkwy Ste 260B",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773392571",
            "country_code": "US",
            "telephone_number": "346-522-2550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3466 Discovery Creek Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773867129",
            "country_code": "US",
            "telephone_number": "346-522-2550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "790 Generations Dr Ste 500B",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781302613",
            "country_code": "US",
            "telephone_number": "346-522-2550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2255 E Mossy Oaks Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773891813",
            "country_code": "US",
            "telephone_number": "346-522-2550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CREEKSIDE PREMIER MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-18",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "ELLENT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-440-5300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.