Individual provider Active NPI

Michael Brian Harkins, M.D.

  • Surgery Physician
  • Tomball, TX
National Provider Identifier
1700908175
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
K2483 Issued in TX
Practice address
455 School St Ste 10
Tomball, TX 77375-4594
Phone
(281) 351-5409
Fax
(281) 351-2803
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X K2483 TX Primary
Surgery Physician 208600000X 020602 LA

Addresses

Primary practice location

455 School St Ste 10
Tomball, TX 77375-4594

Mailing address

455 School St Ste 10
Tomball, TX 77375-4594
Phone (281) 351-5409

Other identifiers 1

IdentifierTypeStateIssuer
030156604MedicaidTX

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
I20120425000416 TX Practitioner - General Surgery 4789748591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical Advanced Specialty Center LL LTD., L.L.P.Group PAC ID 0042373375, 2 clinicians

Practice addresses (Care Compare)

455 School St
Tomball, TX 77375-4594
Phone (281) 351-5409

Hospital & facility affiliations

  • HCA Houston Healthcare Tomball Hospital, Tomball, TX, CCN 450670
  • Houston Methodist Cypress Hospital Hospital, Cypress, TX, CCN 670342
  • Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)24
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
020602LAMDSurgery Physician
K2483TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Advanced Specialty Center LL LTD., L.L.P. Surgery CurrentSince Sep 1, 2002 Accepting new patients
Surgical Excellence Associates PLLC Surgery Current Accepting new patients

Locations

455 School St
Ste 10
Tomball, TX 77375
Phone (281) 351-5409

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ba40796e-8707-4090-9556-3c8b839b86b5/

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.

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700908175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SCHOOL ST STE 10",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754594",
            "telephone_number": "281-351-5409",
            "fax_number": "281-351-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SCHOOL ST STE 10",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754594",
            "telephone_number": "281-351-5409",
            "fax_number": "281-351-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARKINS",
        "first_name": "MICHAEL",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "K2483",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "020602",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030156604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.