Active NPI
George J Murillo, M.D.
- Family Medicine Physician
- Tomball, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E0564
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85830N | Other | TX | BCBS ID |
| 110431701 | Medicaid | TX | |
| 741723714 | Other | TX | TAX ID |
| 00021N | Other | TX | MEDICARE 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David P Ellent PLLC | Current | Accepting new patients | |
| Creekside Premier Medical Group PLLC | Family Medicine | Current | Accepting new patients |
| David P Ellent PLLC | Current | 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
- 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.