Active NPI
Maurice Willis, MD
- Medical Oncology Physician
- Galveston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- K2386
- Practice address
- 1005 Harborside Dr
FL 6
Galveston, TX 77555-0001 - Phone
- (409) 772-0035
- Fax
- (409) 747-0707
- NPI assigned
- Dec 8, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 2023009007 | MO | |
| Medical Oncology Physician | 207RX0202X | K2386 | TX | Primary |
| Hematology & Oncology Physician | 207RH0003X | K2386 | TX |
Addresses
Primary practice location
1005 Harborside Dr
FL 6
Galveston, TX 77555-0001
Mailing address
3655 Vista Ave
Saint Louis, MO 63110-2539
Phone (314) 617-3618
Other practice location 1
3655 Vista Ave
Saint Louis, MO 63110-2539
Phone (314) 617-3618
Other practice location 2
400 Medical Plz Ste 100
Lake St Louis, MO 63367-1493
Phone (636) 639-8600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 165483201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-2222
Hospital & facility affiliations
- University of Texas Medical Branch Galveston
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023009007 | MO | MD | Hematology & Oncology Physician |
| K2386 | TX | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utmb Faculty Group Practice | Current | Accepting new patients | |
| SSM Health Care Group | Hematology & Oncology | Current | Accepting new patients |
| SSM Health Care Group | Current | Accepting new patients |
Locations
1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115
3655 Vista Ave
Saint Louis, MO 63110
Phone (314) 977-5110
1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
1005 Harborside Dr
Fl 6
Galveston, TX 77555
1005 Harborside Dr
Galveston, TX 77555
Phone (409) 772-0122
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
2240 Gulf Fwy S
Ste 2100
League City, TX 77573
Phone (832) 505-1600
6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095
Organizations & group practices 3
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.
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
Hematology & Oncology
-
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Galveston, TX
- NPI 1548226988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1942369319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3655 VISTA AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631102539",
"telephone_number": "314-617-3618",
"fax_number": "314-617-3631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 HARBORSIDE DR",
"address_2": "FL 6",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775550001",
"telephone_number": "409-772-0035",
"fax_number": "409-747-0707"
}
],
"practiceLocations": [
{
"address_1": "3655 Vista Ave",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631102539",
"country_code": "US",
"telephone_number": "314-617-3618",
"fax_number": "314-617-3631",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 Medical Plz Ste 100",
"address_purpose": "LOCATION",
"city": "Lake St Louis",
"state": "MO",
"postal_code": "633671493",
"country_code": "US",
"telephone_number": "636-639-8600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIS",
"first_name": "MAURICE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MO",
"license": "2023009007",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "TX",
"license": "K2386",
"primary": true
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TX",
"license": "K2386",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "165483201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.