Individual provider Active NPI

Tamika Denson-Willis, MD

  • Internal Medicine Physician
  • Humble, TX
National Provider Identifier
1780757229
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M4758 Issued in TX
Practice address
18955 Memorial North Dr.
#200
Humble, TX 77338
Phone
(281) 446-0148
Fax
(281) 446-0149
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M4758 TX Primary

Addresses

Primary practice location

18955 Memorial North Dr.
#200
Humble, TX 77338

Mailing address

18955 Memorial North Drive
#200
Humble, TX 77338
Phone (281) 446-0148

Other identifiers 1

IdentifierTypeStateIssuer
186156902MedicaidTX

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
I20070620000128 TX Practitioner - Internal Medicine 1850490665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Meharry Medical College School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

11619 Shadow Creek Pkwy
Suite 110
Pearland, TX 77584-7262
Phone (346) 646-3481

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • HCA Houston Healthcare Pearland Hospital, Pearland, TX, CCN 670106

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Village Family Practice, L.L.P Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
Villagemd of Southeast Texas, PA Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
Memorial Hermann Medical Group Internal Medicine CurrentSince Apr 18, 2016 Accepting new patients
Blossom Care Services Inc Past Accepting new patients

Locations

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

18648 McKay Dr
Ste 100
Humble, TX 77338
Phone (281) 446-0148

302 Highway 3 S
League City, TX 77573
Phone (281) 332-6573

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

11619 Shadow Creek Pkwy
#110
Pearland, TX 77584
Phone (346) 646-3481

6122 Broadway St
#100
Pearland, TX 77581
Phone (346) 398-7252

15200 Southwest Fwy
Sugar Land, TX 77478
Phone (346) 646-3302

Interoperability endpoints

  • Direct secure messaging: tamika.denson-willis.1@13711.direct.athenahealth.com

Organizations & group practices 4

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 7

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1780757229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18955 MEMORIAL NORTH DRIVE",
            "address_2": "#200",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "77338",
            "telephone_number": "281-446-0148",
            "fax_number": "281-446-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18955 MEMORIAL NORTH DR.",
            "address_2": "#200",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "77338",
            "telephone_number": "281-446-0148",
            "fax_number": "281-446-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENSON-WILLIS",
        "first_name": "TAMIKA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M4758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186156902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.