Active NPI
Michael Anthony Magliolo, M.D.
- Gynecology Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- E6133
- Practice address
- 2060 Space Park Dr Ste 410
Houston, TX 77058-3676 - Phone
- (281) 334-6875
- Fax
- (281) 334-0664
- NPI assigned
- Jul 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | E6133 | TX | |
| Gynecology Physician | 207VG0400X | E6133 | TX | Primary |
Addresses
Primary practice location
2060 Space Park Dr Ste 410
Houston, TX 77058-3676
Mailing address
2060 Space Park Dr Ste 410
Houston, TX 77058-3676
Phone (281) 334-6875
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105811704 | Medicaid | TX | |
| 8FL150 | Other | TX | BLUE CROSS BLUE SHIELD |
| P08862321 | Medicaid | TX | |
| 105811703 | Medicaid | TX | |
| 8FX367 | Other | TX | BLUE CROSS BLUE SHIELD |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMH Physician Associates PLLC | Current | Accepting new patients | |
| TMH Physician Associates PLLC | Current | Accepting new patients | |
| Houston Methodist Specialty Physicians | Current | Accepting new patients | |
| Dickinson OB-GYN Association, P.a. | Gynecology | Past | Accepting new patients |
| Houston Methodist | Past | Accepting new patients |
Locations
6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633
6445 Main St
Ste 2500
Houston, TX 77030
Phone (713) 441-3150
2060 Space Park Dr
Ste 410
Houston, TX 77058
Phone (832) 783-2330
7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955
16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800
Interoperability endpoints
- mmagliolo66785@directhoustonmethodist.org
Organizations & group practices 5
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.
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-
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-
- Nurse Practitioner
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471219200000",
"number": "1801894928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2060 SPACE PARK DR STE 410",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770583676",
"telephone_number": "281-334-6875",
"fax_number": "281-334-0664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2060 SPACE PARK DR STE 410",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770583676",
"telephone_number": "281-334-6875",
"fax_number": "281-334-0664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGLIOLO",
"first_name": "MICHAEL",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2016-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "E6133",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "TX",
"license": "E6133",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105811704",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8FL150",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P08862321",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105811703",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8FX367",
"state": "TX"
}
],
"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 Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.