Individual provider Active NPI

Michael Edwin Ip

  • Emergency Medicine Physician
  • Houston, TX
National Provider Identifier
1952805483
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
S6647 Issued in TX
Practice address
18300 Houston Methodist Dr
Houston, TX 77058-6302
Phone
(281) 523-2000
NPI assigned
Mar 20, 2018
Last updated
Nov 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X S6647 TX Primary

Addresses

Primary practice location

18300 Houston Methodist Dr
Houston, TX 77058-6302

Mailing address

18300 Houston Methodist Dr
Houston, TX 77058-6302
Phone (281) 523-2000

Other practice location 1

4401 Garth Rd
Baytown, TX 77521-2122
Phone (281) 420-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201118000160 LA Practitioner - Emergency Medicine 9537417266 Reassigns benefits to 2 organizations
I20210714002249 TX Practitioner - Emergency Medicine 9537417266 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Texas a & M University System, HSC, College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Travis County Emergency Physicians PAGroup PAC ID 0840289468, 289 clinicians

Practice addresses (Care Compare)

4500 E Sam Houston Pkwy S
CHI St Lukes Health Patients Medi
Pasadena, TX 77505-3959
Phone (713) 948-7000

6565 Fannin St
Houston, TX 77030-2703
Phone (713) 790-3311

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
S6647TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Oct 1, 2021 Accepting new patients
Baylor College of Medicine CurrentSince Oct 1, 2021 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
KND Development 59 LLC CurrentSince Apr 2, 2021 Accepting new patients
Jasper Emergency Medicine Associates PA Emergency Medicine CurrentSince Jun 9, 2021 Accepting new patients
Jefferson Emergency Medicine Associates PA Emergency Medicine CurrentSince Jun 9, 2021 Accepting new patients
Baylor College of Medicine CurrentSince Oct 1, 2021 Accepting new patients
St Martin Emergency Group LLC Emergency Medicine CurrentSince Nov 9, 2020 Accepting new patients
C & M Medical Services, Inc. CurrentSince Nov 15, 2020 Accepting new patients
Usacs Integrated Acute Care Services of Texas, PLLC CurrentSince Dec 6, 2024 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
KND Development 59 LLC Current Accepting new patients
Southeast Emergency Medicine Associates, PA Emergency Medicine CurrentSince Sep 7, 2021 Accepting new patients
Baylor College of Medicine CurrentSince Oct 1, 2021 Accepting new patients
KND Development 59, LLC CurrentSince Apr 2, 2021 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Jul 19, 2023 Accepting new patients
St. Luke's Community Health Services Past Accepting new patients
Singleton Associates PA Past Accepting new patients
Methodist Health Centers Past Accepting new patients

Locations (25 of 35)

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

2202 False River Dr
New Roads, LA 70760
Phone (225) 638-5702

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

4401 Garth Rd
Baytown, TX 77521
Phone (281) 420-8500

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

11297 Fallbrook Dr
Houston, TX 77065
Phone (281) 517-1000

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

18300 Houston Methodist Dr
Houston, TX 77058
Phone (281) 206-9020

18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

22475 Tomball Pkwy
Houston, TX 77070
Phone (281) 320-5800

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6191 E Sam Houston Pkwy N
#B
Houston, TX 77049
Phone (713) 295-5300

6441 Main St
Houston, TX 77030
Phone (713) 790-0500

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

4500 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 487-2786

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

Organizations & group practices 19

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.

View all 19

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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1952805483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18300 HOUSTON METHODIST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770586302",
            "telephone_number": "281-523-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 HOUSTON METHODIST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770586302",
            "telephone_number": "281-523-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Garth Rd",
            "address_purpose": "LOCATION",
            "city": "Baytown",
            "state": "TX",
            "postal_code": "775212122",
            "country_code": "US",
            "telephone_number": "281-420-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IP",
        "first_name": "MICHAEL",
        "middle_name": "EDWIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "S6647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.