Individual provider Active NPI

Michael F McMahon, M.D.

  • Otolaryngology Physician
  • College Station, TX
National Provider Identifier
1619083854
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
H0084 Issued in TX
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

Updated by the provider on Sep 16, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
132865008MedicaidTX

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
I20061101000401 TX Practitioner - OtolaryngologyPractitioner - Ophthalmology 4981601101 Reassigns benefits to 1 organization

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
Texas ENT and Allergy Associates, LLPGroup PAC ID 0547299554, 13 clinicians

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 Hospital, Bryan, TX, CCN 450011
  • Physicians Centre,the Hospital, Bryan, TX, CCN 450834

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0084TXMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas ENT & Allergy Associates, LLP Otolaryngology CurrentSince Oct 1, 2006 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.