Active NPI
Michael F McMahon, M.D.
- Otolaryngology Physician
- College Station, TX
National Provider Identifier
1619083854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- H0084
- Practice address
- 1730 Birmingham Dr
College Station, TX 77845-4063 - Phone
- (979) 693-6000
- Fax
- (979) 693-1900
- NPI assigned
- Aug 21, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | H0084 | TX | Primary |
| Otolaryngic Allergy Physician | 207YX0602X | H0084 | TX | |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | H0084 | TX |
Addresses
Primary practice location
1730 Birmingham Dr
College Station, TX 77845-4063
Mailing address
PO Box 10194
College Station, TX 77842-0194
Phone (979) 693-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132865008 | Medicaid | TX |
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
- Otolaryngology
- Education
- Creighton University School of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1730 Birmingham Rd
College Station, TX 77845-4063
Phone (979) 693-6000
Hospital & facility affiliations
- CHI St Joseph Health Regional Hospital
- Physicians Centre,the
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H0084 | TX | MD | Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas ENT & Allergy Associates, LLP | Otolaryngology | Current | Accepting new patients |
Locations
1730 Birmingham Rd
College Station, TX 77845
Phone (979) 693-6000
Organizations & group practices 1
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.
-
- Otolaryngology Physician
- College Station, TX
- NPI 1962517672
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bryan, TX
- NPI 1801817135
-
- General Acute Care Hospital
- Bryan, TX
- NPI 1942294939
-
- General Acute Care Hospital
- College Station, TX
- NPI 1053963009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316131200000",
"number": "1619083854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10194",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778420194",
"telephone_number": "979-693-6000",
"fax_number": "979-693-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 BIRMINGHAM DR",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778454063",
"telephone_number": "979-693-6000",
"fax_number": "979-693-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHON",
"first_name": "MICHAEL",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2011-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "H0084",
"primary": true
},
{
"code": "207YX0602X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "TX",
"license": "H0084",
"primary": false
},
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "TX",
"license": "H0084",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "132865008",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.