Individual provider Active NPI

Mitchell Juin Prou, MD

  • Anesthesiology Physician
  • Houston, TX
National Provider Identifier
1780875971
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
N4682 Issued in TX
Practice address
2411 Fountain View Dr
Ste. 200
Houston, TX 77057-4817
Phone
(713) 620-4000
NPI assigned
Aug 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X N4682 TX Primary
Anesthesiology Physician 207L00000X BP1-0028923 TX

Addresses

Primary practice location

2411 Fountain View Dr
Ste. 200
Houston, TX 77057-4817

Mailing address

2411 Fountain View Dr
Ste. 200
Houston, TX 77057-4817
Phone (713) 620-4000

Other identifiers 1

IdentifierTypeStateIssuer
4660553649OtherMYUTMB 4660553649

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
I20150219000784 TX Practitioner - Anesthesiology 5395060156 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Texas a & M University System, HSC, College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deerbrook Endo Sedation PLLCGroup PAC ID 4385072487, 10 clinicians

Practice addresses (Care Compare)

310 Kingwood Executive Dr
Suite a
Kingwood, TX 77339-2752
Phone (832) 412-4330

Merit-based Incentive Payment System (MIPS)

Final score
33.22 of 100Reported as group
Quality
21.89
Improvement activities
0
Cost
70.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP1-0028923TXMDAnesthesiology Physician
N4682TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deerbrook Endo Sedation PLLC Anesthesiology CurrentSince Oct 7, 2024 Accepting new patients
Northwest Anesthesiology & Pain Services, P.a. Anesthesiology CurrentSince Oct 1, 2022 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Anesthesiology CurrentSince Feb 11, 2015 Accepting new patients
Bayou Anesthesia and Pain P.a. Anesthesiology CurrentSince Oct 1, 2022 Accepting new patients
U S Anesthesia Partners of Texas, PA Anesthesiology CurrentSince Feb 11, 2015 Accepting new patients
Epix Medical Services of Houston PLLC Anesthesiology CurrentSince Jul 5, 2023 Accepting new patients
Best Choice Anesthesia & Pain PLLC Anesthesiology Past Accepting new patients

Locations

4019 Interstate 45 N
#150
Conroe, TX 77304
Phone (936) 273-1133

4200 Twelve Oaks Dr
Houston, TX 77027
Phone (713) 621-5010

7010 Champions Plaza Dr
Houston, TX 77069
Phone (832) 698-5320

7789 Southwest Fwy
Ste 200
Houston, TX 77074
Phone (713) 343-3100

6620 Main St
Ste 1500
Houston, TX 77030
Phone (713) 520-8432

275 Lantern Bend Dr
Ste 200
Houston, TX 77090
Phone (281) 440-0101

7010 Champions Plaza Dr
Ste 300
Houston, TX 77069
Phone (832) 698-5320

7010 Champions Plaza Dr
Ste 400
Houston, TX 77069
Phone (832) 698-5320

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

2411 Fountain View Dr
Ste 200
Houston, TX 77057
Phone (713) 458-4185

10005 Main St
Houston, TX 77025
Phone (346) 200-9400

4120 Southwest Fwy
Ste 100
Houston, TX 77027
Phone (713) 626-8500

300 Kingwood Medical Dr
Kingwood, TX 77339
Phone (281) 312-4000

310 Kingwood Executive Dr
Ste A
Kingwood, TX 77339
Phone (832) 344-4008

120 Flag Lake Dr
Ste A
Lake Jackson, TX 77566
Phone (281) 916-1012

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

1705 Jackson St
Richmond, TX 77469
Phone (281) 341-3000

22003 Southwest Fwy
Richmond, TX 77469
Phone (281) 341-2000

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

14851 Southwest Fwy
Sugar Land, TX 77478
Phone (281) 313-7300

9303 New Trails Dr
Ste 185
The Woodlands, TX 77381
Phone (281) 882-3601

17200 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-2008

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27020/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1780875971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 FOUNTAIN VIEW DR",
            "address_2": "STE. 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770574817",
            "telephone_number": "713-620-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 FOUNTAIN VIEW DR",
            "address_2": "STE. 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770574817",
            "telephone_number": "713-620-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROU",
        "first_name": "MITCHELL",
        "middle_name": "JUIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "N4682",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "BP1-0028923",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 4660553649",
            "identifier": "4660553649",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.