Michael L. Blackwell, M.D.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

J3695 Issued in TX

Practice address

425 Holderrieth Blvd Ste 208
Tomball, TX 77375-4552

Phone

(281) 357-5515

Fax

(281) 255-3440

NPI assigned

Apr 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Orthopedic Surgery

Education

University of Texas Medical Branch at Galveston, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Houston Healthcare Tomball Hospital, Tomball, TX, CCN 450670

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mblackwellmd@centerforortho.emadirect.md

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.

• Center for Orthopaedics & Sports Medicine P a

  • Specialist
  • Tomball, TX
  • NPI 1306971197
  Medicare reassignment NPD Authorized official
• Center for Orthopaedic & Sports Medicine, P.a.

  • Orthopaedic Surgery Physician
  • Kingwood, TX
  • NPI 1962728865
  NPD Authorized official
• Cardiovascular Care Providers, Inc.

  • Specialist
  • Houston, TX
  • NPI 1437242617
  NPD (past)
• Texas Orthopaedic & Sports Medicine

  • Orthopaedic Surgery Physician
  • Tomball, TX
  • NPI 1285658831
  NPD (past)
• Texas Orthopaedic & Sports Medicine

  • Durable Medical Equipment & Medical Supplies
  • The Woodlands, TX
  • NPI 1609289867
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Houston - TRMC, LLC

  • General Acute Care Hospital
  • Tomball, TX
  • NPI 1750819025
  Care Compare affiliation

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1528021458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HOLDERRIETH BLVD STE 208",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754552",
            "telephone_number": "281-357-5515",
            "fax_number": "281-255-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HOLDERRIETH BLVD STE 208",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754552",
            "telephone_number": "281-357-5515",
            "fax_number": "281-255-3440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22751 Professional Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773396024",
            "country_code": "US",
            "telephone_number": "281-357-5515",
            "fax_number": "281-781-2527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26940 Kuykendahl Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773750159",
            "country_code": "US",
            "telephone_number": "281-357-5515",
            "fax_number": "281-781-2527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4015 I 45 N Ste 230-1",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773045074",
            "country_code": "US",
            "telephone_number": "281-357-5515",
            "fax_number": "281-781-2527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "MICHAEL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "J3695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103453003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natasha Bing
• Bio-Medical Applications of Texas, Inc.
• Fatema Mustafa Biviji
• BJL LLC
• Cheryl Anne Blackwell
• Victoria Bledsoe
• Jason Blevins
• Blissful Living LLC
• Diane Gale Bliven, M. ED.
• Carly Blott, MA, CCC-SLP

• Sports Medicine (Orthopaedic Surgery) Physician in Tomball, TX
• Providers in Tomball, TX by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.