Active NPI
Katherine McQueen, MD
- Addiction Medicine (Internal Medicine) Physician
- Bellaire, TX
National Provider Identifier
1609965078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- L0414
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| L0414 | TX | MD | Addiction Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovery Medicine, PLLC | Current | 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.
-
- Clinic/Center
- Ingram, TX
- NPI 1841038023
-
- Addiction Medicine (Internal Medicine) Physician
- Hunt, TX
- NPI 1366626517
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.