Individual provider Active NPI

Melissa Erin Wilkes Requenez, M.D.

  • Psychiatry Physician
  • Katy, TX
National Provider Identifier
1982829719
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
P2400 Issued in TX
Practice address
460 Park Grove Dr
Katy, TX 77450-1571
Phone
(413) 862-2563
NPI assigned
Apr 16, 2007
Last updated
May 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X P2400 TX Primary

Addresses

Primary practice location

460 Park Grove Dr
Katy, TX 77450-1571

Mailing address

9722 Gaston Rd Ste 150-277
Katy, TX 77494-7941
Phone (713) 249-9411

Other names 1

  • Melissa Erin Wilkes Former name

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
I20120712000218 TX Practitioner - Psychiatry 8729267323 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balance Family Medicine, LLLPGroup PAC ID 6608093455, 3 clinicians

Practice addresses (Care Compare)

460 Park Grove Dr
Katy, TX 77450-1571
Phone (413) 862-2563

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P2400TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Jun 1, 2012 Accepting new patients
Baylor College of Medicine CurrentSince Jun 1, 2012 Accepting new patients
Balance Family Medicine, PLLC CurrentSince Aug 23, 2024 Accepting new patients

Locations

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

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

460 Park Grove Dr
Katy, TX 77450
Phone (281) 206-7984

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1982829719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9722 GASTON RD STE 150-277",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947941",
            "telephone_number": "713-249-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 PARK GROVE DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501571",
            "telephone_number": "413-862-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKES REQUENEZ",
        "first_name": "MELISSA",
        "middle_name": "ERIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P2400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "WILKES",
            "middle_name": "ERIN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.