Active NPI
Ninon Mukalel, M.D.
- Neurology Physician
- Houston, TX
National Provider Identifier
1942402979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- P0258
- Practice address
- 6701 Fannin St
9TH Floor
Houston, TX 77030-2608 - Phone
- (832) 822-1764
- NPI assigned
- Jun 1, 2007
- Last updated
- Nov 19, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of South Alabama College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P0258 | TX | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodlands Ionm LLC | Current | Accepting new patients | |
| Axon Neurodiagnostics Inc | Current | Accepting new patients | |
| St Jude Medical Consultants PLLC | Neurology | Current | 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.
-
- Interventional Pain Medicine Physician
- Conroe, TX
- NPI 1982264339
Neurology
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- San Antonio, TX
- NPI 1619857703
-
- Physiological Laboratory
- The Woodlands, TX
- NPI 1154031375
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.