CREEKSIDE PREMIER MEDICAL GROUP PLLC
NPI 1487217006
Internal Medicine - Hematology & Oncology in Tomball, TX
NPI Status: Active since April 18, 2019
Contact Information
26940 KUYKENDAHL RD STE 200B
TOMBALL, TX
ZIP 77375
Phone: (346) 522-2550
- Organization
- Internal Medicine
- Hematology & Oncology
- Accepts Insurance
- CLIA Number: 45D2327177
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 07-16-2027
About CREEKSIDE PREMIER MEDICAL GROUP PLLC
This page provides the complete NPI Profile along with additional information for Creekside Premier Medical Group Pllc, an internist established in Tomball, Texas operating as a Internal Medicine, focusing in hematology & oncology . The healthcare provider is registered in the NPI registry with number 1487217006 assigned on April 2019. The practitioner's primary taxonomy code is 207RH0003X. The provider is registered as an organization and their NPI record was last updated one year ago. Creekside Premier Medical Group Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is David P Ellent Md (President)
- NPI
- 1487217006
- Provider Name
- CREEKSIDE PREMIER MEDICAL GROUP PLLC
- Entity Type
- Organization
- Location Address
- 26940 KUYKENDAHL RD STE 200B TOMBALL, TX 77375
- Location Phone
- (346) 522-2550
- Mailing Address
- 2255 E MOSSY OAKS RD STE 500 SPRING, TX 77389
- Mailing Phone
- (281) 440-5300
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-18-2019
- Last Update Date
- 08-27-2025
- Code Navigator
An internist like Creekside Premier Medical Group Pllc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 1710 W Lake Houston Pkwy Ste 260B
Kingwood, TX 77339
(346) 522-2550 - 3466 Discovery Creek Blvd Ste 600
Spring, TX 77386
(346) 522-2550 - 790 Generations Dr Ste 500B
New Braunfels, TX 78130
(346) 522-2550 - 24727 State Highway 249 # 120B
Tomball, TX 77375
(346) 522-2550 - 130 Medical Center Pkwy Ste 6B
Huntsville, TX 77340
(346) 522-2550 - 2255 E Mossy Oaks Rd Ste 500
Spring, TX 77389
(346) 522-2550
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Hematology & Oncology
- Taxonomy Code
- 207RH0003X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207K00000X | Allopathic & Osteopathic Physicians | Allergy & Immunology | |
| 2 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | |
| 3 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 4 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 5 | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 6 | 207RR0500X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 7 | 207T00000X | Allopathic & Osteopathic Physicians | Neurological Surgery | |
| 8 | 207VF0040X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 9 | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | |
| 10 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | |
| 11 | 208VP0000X | Allopathic & Osteopathic Physicians | Pain Medicine | |
| 12 | 213ES0103X | Podiatric Medicine & Surgery Service Providers | Podiatrist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoice) + Vision + Adult Dental - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver (QualChoiceLife) + Vision + Adult Dental - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Enhanced Asthma/COPD Care Silver with $0 Drug Options - PPO
- Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
- Enhanced Diabetes Care Silver with $0 Drug Options - PPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2327177
- Facility Type
- Independent
- Certificate Effective Date
- July 17, 2025
- Certificate Expiration Date
- July 16, 2027
- Laboratory Director
- SYDNEY MYRICK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Creekside Premier Medical Group Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for CREEKSIDE PREMIER MEDICAL GROUP PLLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1487217006, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487217006, enumerated as an "organization" on April 18, 2019.
The provider is located at 26940 KUYKENDAHL RD STE 200B TOMBALL, TX 77375 and the phone number is (346) 522-2550.
Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.
