Individual provider Active NPI

Molly Dimola, FNP

  • Family Nurse Practitioner
  • Bellaire, TX
National Provider Identifier
1902530561
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1048461 Issued in TX
Practice address
4747 Bellaire Blvd Ste 575
Bellaire, TX 77401-4535
Phone
(713) 575-3686
NPI assigned
Jul 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1048461 TX Primary

Addresses

Primary practice location

4747 Bellaire Blvd Ste 575
Bellaire, TX 77401-4535

Mailing address

1548 Ashland St Apt 13
Houston, TX 77008-4156

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220803001552 TX Practitioner - Nurse Practitioner 7315329604 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Endovascular Associates PLLCGroup PAC ID 2961708979, 12 clinicians

Practice addresses (Care Compare)

4747 Bellaire Blvd
Suite 550
Bellaire, TX 77401-4121
Phone (713) 575-3686

Hospital & facility affiliations

  • Tirr Memorial Hermann Inpatient rehabilitation facility, Houston, TX, CCN 453025

Merit-based Incentive Payment System (MIPS)

Final score
73.89 of 100Reported as group
Quality
81.15
Promoting interoperability
84
Improvement activities
40
Cost
45.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1048461TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Endovascular PLLC CurrentSince Mar 25, 2024 Accepting new patients
Texas Endovascular Associates, PLLC CurrentSince Jul 11, 2022 Accepting new patients

Locations

4747 Bellaire Blvd
Ste 575
Bellaire, TX 77401
Phone (713) 541-6988

4747 Bellaire Blvd
Ste 550
Bellaire, TX 77401
Phone (713) 666-3600

4747 Bellaire Blvd
Bellaire, TX 77401
Phone (214) 686-9987

3920 W Wheatland Rd
Ste 108
Dallas, TX 75237
Phone (214) 948-7779

1331 W Grand Pkwy N
Ste 210
Katy, TX 77493
Phone (713) 936-0621

Interoperability endpoints

  • Direct secure messaging: molly.dimola.1@12005.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12005/brand/6/csg/1/fhir/r4

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": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1902530561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1548 ASHLAND ST APT 13",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770084156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 BELLAIRE BLVD STE 575",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014535",
            "telephone_number": "713-575-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMOLA",
        "first_name": "MOLLY",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1048461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.