NPIMap

Individual provider Active NPI

Michael Lloyd McMahon II, M.D.

  • Internal Medicine Physician
  • Nederland, TX
National Provider Identifier
1548240641
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K0347 Issued in TX
Practice address
1003 Nederland Ave
Nederland, TX 77627-2832
Phone
(409) 344-4466
Fax
(409) 600-8525
NPI assigned
Jan 17, 2006
Last updated
Jan 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K0347 TX Primary
Pediatrics Physician 208000000X K0347 TX

Addresses

Primary practice location

1003 Nederland Ave
Nederland, TX 77627-2832

Mailing address

2940 Spurlock Rd
Nederland, TX 77627-6313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050808000536 TX Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Pediatric Medicine 0941239578 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Texas Medical Branch at Galveston, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid County Medical Group PAGroup PAC ID 6305875923, 7 clinicians

Practice addresses (Care Compare)

1132 Atlanta Ave
Nederland, TX 77627-4145
Phone (409) 344-4466

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K0347TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hni Physician Services of Texas, Inc Internal Medicine CurrentSince Apr 1, 2023 Accepting new patients
Liberty County Hospital District No 1 Past Accepting new patients
Winnie-Stowell Hospital District Past Accepting new patients
City of Ennis Past Accepting new patients
Winnie-Stowell Hospital District PastSince Jun 1, 2024 Accepting new patients
Tyler County Hospital District Past Accepting new patients
Winnie-Stowell Hospital District Past Accepting new patients
Winnie-Stowell Hospital District Past Accepting new patients
Tyler County Hospital District Past Accepting new patients
Tyler County Hospital District Past Accepting new patients
Pam Squared at Beaumont, LLC Past Accepting new patients
Tyler County Hospital District Past Accepting new patients
The Medical Center of Southeast Texas LP Past Accepting new patients

Locations

10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2190

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
College Street Health Care CenterBeaumont, TX, CCN 675695 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 1, 2014
Dec 1, 2014
Bonne ViePort Arthur, TX, CCN 676444 Skilled nursing facility Adp of the SNF Jan 1, 2019
Beaumont Health Care CenterBeaumont, TX, CCN 455561 Skilled nursing facility Adp of the SNF Jun 1, 2024
Sabine Heights Nursing and Rehabilitation CenterPort Arthur, TX, CCN 675172 Skilled nursing facility Adp of the SNF Apr 1, 2026

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1548240641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 SPURLOCK RD",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 NEDERLAND AVE",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776272832",
            "telephone_number": "409-344-4466",
            "fax_number": "409-600-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "MICHAEL",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K0347",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K0347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nederland, TX

Sources for this page

Verify at the official NPI Registry.