Individual provider Active NPI

Ninon Mukalel, M.D.

  • Neurology Physician
  • Houston, TX
National Provider Identifier
1942402979
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
P0258 Issued in TX
Practice address
6701 Fannin St
9TH Floor
Houston, TX 77030-2608
Phone
(832) 822-1764
NPI assigned
Jun 1, 2007
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X P0258 TX
Pediatric Sleep Medicine Physician 2080S0012X P0258 TX
Pediatrics Physician 208000000X P0258 TX
Neurology Physician 2084N0400X P0258 TX Primary

Addresses

Primary practice location

6701 Fannin St
9TH Floor
Houston, TX 77030-2608

Mailing address

3838 N Braeswood Blvd
Apt 238
Houston, TX 77025-3000
Phone (954) 254-6689

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111006000040 TX Practitioner - Pediatric MedicinePractitioner - NeurologyPractitioner - Other (Physician)Practitioner - Sleep Medicine 8325210875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Neurology, Sleep Medicine
Education
University of South Alabama College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Jude Medical Consultants PLLCGroup PAC ID 8628400256, 6 clinicians

Practice addresses (Care Compare)

3786 FM 1488 Rd
Suite 160
Conroe, TX 77384-4987
Phone (342) 272-0026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P0258TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woodlands Ionm LLC CurrentSince Jan 19, 2023 Accepting new patients
Axon Neurodiagnostics Inc CurrentSince Oct 7, 2025 Accepting new patients
St Jude Medical Consultants PLLC Neurology CurrentSince May 25, 2021 Accepting new patients

Locations

3786 FM 1488 Rd
Ste 160
Conroe, TX 77384
Phone (342) 272-0026

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1942402979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 N BRAESWOOD BLVD",
            "address_2": "APT 238",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770253000",
            "telephone_number": "954-254-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 FANNIN ST",
            "address_2": "9TH FLOOR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302608",
            "telephone_number": "832-822-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKALEL",
        "first_name": "NINON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "TX",
            "license": "P0258",
            "primary": false
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "TX",
            "license": "P0258",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P0258",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "P0258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.