Active NPI
Michelle Jeanine Gossman, MD
- Emergency Medicine Physician
- The Woodlands, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- N2534
- Practice address
- 17450 St Lukes Way Ste 360
The Woodlands, TX 77384-8046 - Phone
- (512) 202-3830
- Fax
- (512) 354-1106
- NPI assigned
- Jun 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | D62693 | MD | |
| Emergency Medicine Physician | 207P00000X | N2534 | TX | Primary |
Addresses
Primary practice location
17450 St Lukes Way Ste 360
The Woodlands, TX 77384-8046
Mailing address
PO Box 3409
Pflugerville, TX 78691-3409
Phone (512) 202-3830
Other practice location 1
3001 S Hanover St
Baltimore, MD 21225-1233
Phone (410) 350-3509
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 407331200 | Medicaid | MD |
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
- Emergency Medicine
- Education
- Hahnemann University College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9950 Woodlands Pkwy
Memorial Hermann Emergency Physicians
The Woodlands, TX 77382-2940
Phone (713) 338-6565
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D62693 | MD | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acs Primary Care Physicians Southwest, PA | Single Specialty | Current | Accepting new patients |
| Memorial Hermann Hospital Based Physician Group | Single Specialty | Current | Accepting new patients |
| Emergency Physician Associates of Maryland, P.C. | Single Specialty | Past | Accepting new patients |
| Premier Provider Health PA | Single Specialty | Past | Accepting new patients |
Locations
27800 NW Freeway
Cypress, TX 77433
Phone (346) 231-4000
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
14201 E Sam Houston Pkwy N
Houston, TX 77044
Phone (281) 436-8800
921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439
2555 Gulf Fwy S
#C1100
League City, TX 77573
2901 4th St
Longview, TX 75605
Phone (281) 371-1800
16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000
9250 Pinecroft Dr
#C
Shenandoah, TX 77380
9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300
7474 N Grand Pkwy W
Spring, TX 77379
Phone (713) 222-2273
9950 Woodlands Pkwy
The Woodlands, TX 77382
Phone (281) 719-3333
Interoperability endpoints
- mgossman38325@memorialhermann.direct-ci.com
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1295363497
Single Specialty
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
Single Specialty
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1740213453
Single Specialty
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1952349441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3409",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786913409",
"telephone_number": "512-202-3830",
"fax_number": "512-354-1106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17450 ST LUKES WAY STE 360",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773848046",
"telephone_number": "512-202-3830",
"fax_number": "512-354-1106"
}
],
"practiceLocations": [
{
"address_1": "3001 S Hanover St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212251233",
"country_code": "US",
"telephone_number": "410-350-3509",
"fax_number": "410-350-3511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOSSMAN",
"first_name": "MICHELLE",
"middle_name": "JEANINE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-04",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "D62693",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "TX",
"license": "N2534",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "407331200",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.