DDRG Physicians LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DDRG PHYSICIANS LLC

Practice address

605 Holderrieth Blvd
Tomball, TX 77375-6445

Phone

(832) 687-5787

NPI assigned

May 7, 2016

Last updated

Aug 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Harold David Wills, MDNPI 1932162252

Title

President

Phone

(832) 687-5787

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Harold David Wills, MD

  • Internal Medicine Physician
  • Tomball, TX
  • NPI 1932162252
  Medicare reassignment Care Compare group NPD Authorized official
• Sirisha Parvataneni, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Houston, TX
  • NPI 1326206822
  Medicare reassignment Care Compare group NPD
• Cassie Li Xu, M.D.

  • Internal Medicine Physician
  • Tomball, TX
  • NPI 1770947509
  Medicare reassignment Care Compare group NPD
• Maria Ella Bacareza Valbuena, NP-C

  • Nurse Practitioner
  • Tomball, TX
  • NPI 1235628686
  Medicare reassignment NPD
• Heather Jean Michael, RN

  • Acute Care Nurse Practitioner
  • Tomball, TX
  • NPI 1154055077
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630108800000",
    "number": "1770939886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CAPE JASMINE PL",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773816459",
            "telephone_number": "832-794-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 HOLDERRIETH BLVD",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756445",
            "telephone_number": "832-687-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DDRG PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-07",
        "last_updated": "2021-08-28",
        "certification_date": "2021-08-28",
        "status": "A",
        "authorized_official_last_name": "WILLS",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-687-5787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1932162252",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David T. Le, MD, PA
• Lisa Michelle Davis, M.ED.
• Rachelle Louise Davis, SLP
• Rita Shawn Davis, D.C.
• Mahdokht Davoodi, O.D., M.S.
• Carolina De Jongh
• Gabrielle De Villa, SLPA
• Melanie Debakey
• Rachel Deloach
• Candice Martin Demattia, MD

• Internal Medicine Physician in Tomball, TX
• Providers in Tomball, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.