Active NPI
Donna Bloodworth, MD
- Physical Medicine & Rehabilitation Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- J3599
- Practice address
- 1504 Taub Loop
Houston, TX 77030-1608 - Phone
- (713) 873-8890
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | J3599 | TX | |
| Physical Medicine & Rehabilitation Physician | 208100000X | J3599 | TX | Primary |
Addresses
Primary practice location
1504 Taub Loop
Houston, TX 77030-1608
Mailing address
6620 Main St
Houston, TX 77030-2348
Phone (713) 798-6198
Other practice location 1
6620 Main St
Houston, TX 77030-2348
Phone (713) 798-6198
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136253506 | Medicaid | TX |
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
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Virginia Commonwealth University, School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-2000
7200 Cambridge St
Suite 1
Houston, TX 77030-4202
Phone (713) 798-2500
Hospital & facility affiliations
- Harris Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J3599 | TX | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Baylor College of Medicine | Current | Accepting new patients | |
| Baylor College of Medicine | Past | Accepting new patients | |
| Kelsey-Seybold Medical Group, PLLC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Baylor College of Medicine | Past | Accepting new patients |
Locations
2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835
6624 Fannin St
Ste 2330
Houston, TX 77030
Phone (713) 798-4061
1504 Taub Loop
#621
Houston, TX 77030
6624 Fannin St
Houston, TX 77030
Phone (713) 442-1500
6620 Main St
Houston, TX 77030
Phone (713) 520-8432
7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924
Organizations & group practices 6
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.
-
- Ph.D. Medical Genetics
- Houston, TX
- NPI 1881026664
Physical Medicine & Rehabilitation
-
- Family Medicine Physician
- Houston, TX
- NPI 1053352914
-
- Orthopaedic Surgery Physician
- Sugar Land, TX
- NPI 1700683844
-
- Internal Medicine Physician
- Houston, TX
- NPI 1164463287
-
- Neurological Surgery Physician
- Houston, TX
- NPI 1730132721
-
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1013915255
Physical Medicine & Rehabilitation
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1205900370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1811077241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6620 MAIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302348",
"telephone_number": "713-798-6198",
"fax_number": "713-798-4688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 TAUB LOOP",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301608",
"telephone_number": "713-873-8890"
}
],
"practiceLocations": [
{
"address_1": "6620 Main St",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770302348",
"country_code": "US",
"telephone_number": "713-798-6198",
"fax_number": "713-798-4688",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLOODWORTH",
"first_name": "DONNA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "TX",
"license": "J3599",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "J3599",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136253506",
"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 8, 2024; 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.
- 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.