Individual provider Active NPI

Michael James Frazier Sr., DPM

  • Podiatrist
  • Shenandoah, TX
National Provider Identifier
1881958940
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2127 Issued in TX
Practice address
255 Ed English Dr Ste a
Shenandoah, TX 77385-8023
Phone
(713) 702-6632
Fax
(833) 449-4091
NPI assigned
Jul 3, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Podiatrist 213ER0200X 2127 TX
Foot Surgery Podiatrist 213ES0131X 2127 TX
Foot & Ankle Surgery Podiatrist 213ES0103X 2127 TX
Sports Medicine Podiatrist 213ES0000X 2127 TX
Podiatrist 213E00000X 2127 TX Primary

Addresses

Primary practice location

255 Ed English Dr Ste a
Shenandoah, TX 77385-8023

Mailing address

255 Ed English Dr Ste a
Shenandoah, TX 77385-8023
Phone (713) 702-6632

Other names 1

  • Dr. Michael J Frazier Sr. Professional name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address michael.frazier.1@8042.direct.athenahealth.com Direct Privia Medical Group Gulf Coast, PLLC
Direct Messaging Address michael.frazier.1@8042.direct.athenahealth.com Direct Privia Medical Group Gulf Coast, PLLC

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150611003042 TX Practitioner - Podiatry 1355662636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

255 Ed English Dr a
Internal Healing and Wellness
Shenandoah, TX 77385-8023
Phone (713) 702-6632

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2127TXMDRadiology Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast PLLC CurrentSince Oct 4, 2023 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Oct 4, 2023 Accepting new patients

Locations

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

1200 Binz St
Ste 1490
Houston, TX 77004
Phone (713) 512-7027

210 W Park
Ste 100
Livingston, TX 77352
Phone (281) 501-5652

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

255 Ed English Dr
Ste A
Shenandoah, TX 77385
Phone (281) 475-7845

21301 Kuykendahl Rd
Ste J
Spring, TX 77379
Phone (713) 429-0881

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Interoperability endpoints

  • Direct secure messaging: michael.frazier.1@8042.direct.athenahealth.com

Organizations & group practices 2

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 1

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": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1881958940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 ED ENGLISH DR STE A",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858023",
            "telephone_number": "713-702-6632",
            "fax_number": "833-449-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 ED ENGLISH DR STE A",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858023",
            "telephone_number": "713-702-6632",
            "fax_number": "833-449-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-03",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "TX",
            "license": "2127",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "2127",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2127",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "TX",
            "license": "2127",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "2127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.frazier.1@8042.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Privia Medical Group Gulf Coast, PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "21301 Kuykendahl Rd Ste J",
            "city": "Spring",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773792614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.frazier.1@8042.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Privia Medical Group Gulf Coast, PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "255 Ed English Dr Ste A",
            "city": "Shenandoah",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773858023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "FRAZIER",
            "middle_name": "J",
            "prefix": "DR.",
            "suffix": "SR.",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.