Individual provider Active NPI

Katherine McQueen, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Bellaire, TX
National Provider Identifier
1609965078
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
L0414 Issued in TX
Practice address
6565 West Loop S
Suite 525
Bellaire, TX 77401-3500
Phone
(713) 661-7888
Fax
(713) 661-7899
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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 L0414 TX
Addiction Medicine (Internal Medicine) Physician 207RA0401X L0414 TX Primary

Addresses

Primary practice location

6565 West Loop S
Suite 525
Bellaire, TX 77401-3500

Mailing address

PO Box 34
Ingram, TX 78025-0034
Phone (830) 201-0880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 19, 2024 through Jul 19, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L0414TXMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Medicine, PLLC CurrentSince Jul 21, 2024 Accepting new patients
Kerrville Medical Services, PA Addiction Medicine Past Accepting new patients

Locations

3300 Junction Hwy
Ingram, TX 78025
Phone (830) 201-0880

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1609965078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34",
            "city": "INGRAM",
            "state": "TX",
            "postal_code": "780250034",
            "telephone_number": "830-201-0880",
            "fax_number": "830-323-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 WEST LOOP S",
            "address_2": "SUITE 525",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013500",
            "telephone_number": "713-661-7888",
            "fax_number": "713-661-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUEEN",
        "first_name": "KATHERINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L0414",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "TX",
            "license": "L0414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.