CREEKSIDE PREMIER MEDICAL GROUP PLLC – Hematology & Oncology Physician, NPI 1487217006
Hematology & Oncology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CREEKSIDE PREMIER MEDICAL GROUP PLLC
130 Medical Center Pkwy Ste 6B
Huntsville, TX 773404943
Phone: (346) 522-2550
Type: Location
3466 Discovery Creek Blvd Ste 600
Spring, TX 773867129
Phone: (346) 522-2550
Type: Location
790 Generations Dr Ste 500B
New Braunfels, TX 781302613
Phone: (346) 522-2550
Type: Location
1710 W Lake Houston Pkwy Ste 260B
Kingwood, TX 773392571
Phone: (346) 522-2550
Type: Location
24727 State Highway 249 # 120B
Tomball, TX 773757877
Phone: (346) 522-2550
Type: Location
2255 E Mossy Oaks Rd Ste 500
Spring, TX 773891813
Phone: (346) 522-2550
Type: Location
2255 E MOSSY OAKS RD STE 500
SPRING, TX 773891813
Phone: (281) 440-5300
Type: Location
26940 KUYKENDAHL RD STE 200B
TOMBALL, TX 773753533
Phone: (346) 522-2550
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-11-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20231116000915 | O | Clinic/Group Practice | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77340)
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