Individual provider Active NPI

George J Murillo, M.D.

  • Family Medicine Physician
  • Tomball, TX
National Provider Identifier
1568426153
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E0564 Issued in TX
Practice address
425 Holderrieth Blvd
Ste 112
Tomball, TX 77375-4543
Phone
(281) 351-7204
Fax
(281) 351-9059
NPI assigned
Apr 12, 2006
Last updated
Sep 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E0564 TX Primary

Addresses

Primary practice location

425 Holderrieth Blvd
Ste 112
Tomball, TX 77375-4543

Mailing address

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

Other identifiers 4

IdentifierTypeStateIssuer
85830NOtherTXBCBS ID
110431701MedicaidTX
741723714OtherTXTAX ID
00021NOtherTXMEDICARE PTAN

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
I20080714000236 TX Practitioner - Family Practice 2567535255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David P Ellent PLLCGroup PAC ID 7012290885, 57 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David P Ellent PLLC CurrentSince Oct 1, 2021 Accepting new patients
Creekside Premier Medical Group PLLC Family Medicine CurrentSince May 1, 2025 Accepting new patients
David P Ellent PLLC CurrentSince Oct 1, 2021 Accepting new patients

Locations

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

22751 Professional Dr
Kingwood, TX 77339
Phone (281) 319-8380

22751 Professional Dr
Ste 140
Kingwood, TX 77339
Phone (281) 319-8380

2255 E Mossy Oaks Rd
Ste 500
Spring, TX 77389

9303 Pinecroft Dr
Ste 340
The Woodlands, TX 77380
Phone (281) 681-0616

24727 State Highway 249
Ste 120
Tomball, TX 77375

26940 Kuykendahl Rd
Ste 200
Tomball, TX 77375
Phone (281) 357-5515

Interoperability endpoints

  • Direct secure messaging: george.murillo.1@19704.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1568426153",
    "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",
            "fax_number": "832-232-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HOLDERRIETH BLVD",
            "address_2": "STE 112",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754543",
            "telephone_number": "281-351-7204",
            "fax_number": "281-351-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURILLO",
        "first_name": "GEORGE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E0564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "85830N",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110431701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "741723714",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00021N",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.