DR. DEREK S DAWES M.D.
NPI 1508012725
Internal Medicine in Houston, TX

Active since August 08, 2008PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
5656 KELLEY ST, HOUSTON, TX 77026(713) 566-4489(713) 566-5025 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2025, Apr 28, 2022 (2 updates tracked since 2022).

About Dr. Derek S Dawes M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DEREK S DAWES M.D. (NPI 1508012725) is an individual internal medicine provider in Houston, Texas, licensed in Texas (N0718) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Harris Health System, and is a graduate of University Of Texas Medical School At Houston (2005).

NPPES Registry Identity

NPI1508012725
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DEREK S DAWESCredential: M.D.
Location Address5656 KELLEY STHouston, TX 77026-1967
Mailing Address5656 Kelley StHouston, TX 77026-1967 · (713) 566-4489 · Fax (713) 566-5025
Fax(713) 566-5025
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2005
Enumeration DateAugust 8, 2008
Last NPPES UpdateMarch 17, 20252 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
NPI 1508012725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · N0718
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5656 KELLEY ST, Houston, TX 77026

Other Identifiers 1

Other8CQ689TX · Bcbstx

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Derek S Dawes M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224106166
PECOS Enrollment IDI20081006000500
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
66 services26 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77026 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

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.

Nurse Practitioner
5656 KELLEY ST
HOUSTON, TX 77026
Physician Assistant
5656 KELLEY ST, ROOM IEC 93006
HOUSTON, TX 77026
Internal Medicine
5656 KELLEY ST
HOUSTON, TX 77026
Internal Medicine
5656 KELLEY ST
HOUSTON, TX 77026
Physician Assistant
5656 KELLEY ST
HOUSTON, TX 77026
Physician Assistant
5656 KELLEY ST
HOUSTON, TX 77026
Internal Medicine (Cardiovascular Disease)
5656 KELLEY ST
HOUSTON, TX 77026
Family Medicine
5656 KELLEY ST
HOUSTON, TX 77026

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 Derek Dawes's NPI number?

The NPI number for Derek Dawes is 1508012725. It was assigned to this individual provider in the NPPES registry on August 8, 2008.

Where is Derek Dawes located?

Derek Dawes practices at 5656 Kelley St, Houston, TX 77026. The listed phone number is (713) 566-4489.

What is Derek Dawes's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Derek Dawes enrolled in Medicare?

Yes. Derek Dawes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Derek Dawes 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 3 other insurers list Derek Dawes 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.

Is Derek Dawes affiliated with any hospitals?

According to CMS data, Derek Dawes is affiliated with Harris Health System.

When was this NPI record last updated?

The NPPES record for Derek Dawes was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.