Active NPI
Matthew Macdonald
- Emergency Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- R8413
- Practice address
- 6431 Fannin St
Suite JJL 431
Houston, TX 77030-1501 - Phone
- (713) 500-7878
- NPI assigned
- May 5, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | R8413 | TX | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10057372 | TX |
Addresses
Primary practice location
6431 Fannin St
Suite JJL 431
Houston, TX 77030-1501
Mailing address
1635 North Loop W
Houston, TX 77008-1532
Phone (713) 867-2000
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
- Emergency Medicine
- Education
- Tulane University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1635 N Loop W
Memorial Hermann Emergency Physicians
Houston, TX 77008-1532
Phone (713) 338-6565
Hospital & facility affiliations
- Memorial Hermann Hospital System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R8413 | TX | MD | Emergency Medicine Physician |
| BP10057372 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acs Primary Care Physicians Southwest, PA | Emergency Medicine | Current | Accepting new patients |
| Memorial Hermann Hospital Based Physician Group | Emergency Medicine | Current | Accepting new patients |
Locations
27800 NW Freeway
Cypress, TX 77433
Phone (346) 231-4000
1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066
921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439
2555 Gulf Fwy S
#C1100
League City, TX 77573
2901 4th St
Longview, TX 75605
Phone (281) 371-1800
11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100
16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000
9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300
9250 Pinecroft Dr
#C
Shenandoah, TX 77380
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.
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1295363497
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1669828935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 NORTH LOOP W",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770081532",
"telephone_number": "713-867-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6431 FANNIN ST",
"address_2": "SUITE JJL 431",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301501",
"telephone_number": "713-500-7878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-05",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "R8413",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10057372",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.