Organization Active NPI

Family Medicine MMC PA

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1801131099
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICINE MMC PA
Practice address
6750 E Sam Houston Pkwy N
Ste 100
Houston, TX 77049-4041
Phone
(281) 452-2299
Fax
(281) 452-2298
NPI assigned
Nov 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Maria Mejia, MD
Title
President
Phone
(281) 452-2299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6750 E Sam Houston Pkwy N
Ste 100
Houston, TX 77049-4041

Mailing address

6750 E Sam Houston Pkwy N
Ste 100
Houston, TX 77049-4041
Phone (281) 452-2299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130624000223 TX Part B Supplier - Clinic/Group Practice 3577702521 Receives reassigned benefits from 6 practitioners
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2052749Family Medicine MMC6750 E Sam Houston Pkwy North Ste 100, Houston, TX 77049Certificate of waiverJun 18, 2028

National Provider Directory

National Provider Directory

Locations

6750 E Sam Houston Pkwy N
Ste 100
Houston, TX 77049
Phone (281) 452-2299

6750 E Sam Houston Pkwy N
Ste 1
Houston, TX 77049

6750 E Sam Houston Pkwy N
Houston, TX 77049
Phone (281) 452-2299

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1801131099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 E SAM HOUSTON PKWY N",
            "address_2": "STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770494041",
            "telephone_number": "281-452-2299",
            "fax_number": "281-452-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 E SAM HOUSTON PKWY N",
            "address_2": "STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770494041",
            "telephone_number": "281-452-2299",
            "fax_number": "281-452-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE MMC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "MEJIA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-452-2299",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.