MELANIE D DEGROOT M.D.
NPI 1053313569
Pediatrics in Richmond, TX
About Melanie D Degroot M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELANIE D DEGROOT M.D. (NPI 1053313569) is an individual pediatrics provider in Richmond, Texas, licensed in Pennsylvania (MD056443L) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Missouri City.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Melanie D Degroot M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Melanie Degroot reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Richmond, TX 77469
- Reassigned Medicare billing, Texas enrollment
- 39 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77469 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RICHMOND, TX 77469
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Melanie Degroot's NPI number?
The NPI number for Melanie Degroot is 1053313569. It was assigned to this individual provider in the NPPES registry on August 15, 2005.
Where is Melanie Degroot located?
Melanie Degroot practices at 400 Austin St, Richmond, TX 77469. The listed phone number is (281) 342-4530.
What is Melanie Degroot's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Melanie Degroot enrolled in Medicare?
Yes. Melanie Degroot is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Melanie Degroot's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Degroot reassigns Medicare benefits to Fort Bend Family Health Center, Inc (Richmond, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melanie Degroot's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Melanie Degroot accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Melanie Degroot as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Melanie Degroot was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.