Deactivated NPI 1831120716 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Diteresa , MD

Internal Medicine • Tomball, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Diteresa has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 06, 2006

NPI Deactivation Date July 29, 2020

Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Diteresa, MD was a registered Internal Medicine practicing in Tomball, TX. Throughout an active medical career spanning 14 years, Dr. Diteresa provided care at the practice location at 425 HOLDERRIETH BLVD until profile deactivation on 2020-07-29.

Historical Medicare Part B clinical services included established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, injection, triamcinolone acetonide, not otherwise specified, 10 mg. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

425 Holderrieth Blvd
Suite 209

Tomball, TX 773754551

Telephone 2813578885

Fax 2813578875

Associated Practice Facility / Clinic

🏢 Northwest Gastroenterology Associates P.a. Facility NPI 1245339522

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Tomball, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 27.4 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

26 Specialists

Practicing in Tomball, TX (9538 Statewide)

Telehealth Adoption Rate

23.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	692	326	$170.00	$108.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	250	35	$190.00	$70.93
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	119	34	$35.00	$1.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	40	$325.00	$199.22
99238 Hospital discharge day management, 30 minutes or less	34	32	$150.00	$71.83
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$65.00	$17.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,931	467	$170.00	$109.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	818	111	$190.00	$73.69
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	336	59	$35.00	$1.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	149	123	$325.00	$204.98
99238 Hospital discharge day management, 30 minutes or less	122	102	$150.00	$74.05
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	81	18	$10.00	$1.80
99291 Critical care, first 30-74 minutes	80	27	$525.00	$225.60
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	60	25	$225.00	$105.34
G0008 Administration of influenza virus vaccine	55	54	$30.00	$16.82
90756 Vaccine for influenza for injection into muscle	54	53	$35.00	$26.13
J0696 Injection, ceftriaxone sodium, per 250 mg	48	12	$15.00	$0.56
93000 Routine ekg using at least 12 leads including interpretation and report	39	38	$65.00	$17.28
20610 Aspiration and/or injection of fluid from large joint	28	16	$406.25	$70.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$285.00	$167.01
99219 Hospital observation care, typically 50 minutes	21	20	$235.00	$137.79
99234 Hospital observation or inpatient care low severity, 40 minutes per day	20	19	$250.00	$134.79
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$110.00	$72.28
99217 Hospital observation care on day of discharge	18	17	$150.00	$74.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,226	491	$170.00	$102.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	747	96	$190.00	$69.61
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	586	119	$35.00	$1.82
J0696 Injection, ceftriaxone sodium, per 250 mg	180	37	$15.00	$0.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	170	102	$325.00	$194.48
99238 Hospital discharge day management, 30 minutes or less	132	95	$150.00	$69.69
99291 Critical care, first 30-74 minutes	72	23	$525.00	$213.28
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	62	21	$225.00	$99.91
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	61	21	$10.00	$1.97
93000 Routine ekg using at least 12 leads including interpretation and report	55	47	$65.00	$16.28
G0008 Administration of influenza virus vaccine	35	35	$30.00	$20.73
20610 Aspiration and/or injection of fluid from large joint	32	19	$375.78	$59.15
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	29	29	$35.00	$17.88
81002 Urinalysis, manual test	28	21	$35.00	$3.41
99219 Hospital observation care, typically 50 minutes	20	19	$235.00	$130.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$285.00	$158.33
99217 Hospital observation care on day of discharge	16	15	$150.00	$70.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,352	536	$170.00	$100.96
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	798	105	$190.72	$68.36
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	604	115	$35.00	$1.80
J0696 Injection, ceftriaxone sodium, per 250 mg	212	39	$15.00	$0.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	156	110	$325.00	$190.75
99238 Hospital discharge day management, 30 minutes or less	123	97	$150.00	$68.23
99291 Critical care, first 30-74 minutes	82	20	$525.00	$211.49
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	63	62	$35.00	$17.23
G0008 Administration of influenza virus vaccine	63	62	$30.00	$25.60
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	57	24	$225.00	$93.53
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	54	23	$10.00	$2.95
20610 Aspiration and/or injection of fluid from large joint	42	22	$394.64	$60.87
93000 Routine ekg using at least 12 leads including interpretation and report	42	39	$65.00	$16.07
81002 Urinalysis, manual test	33	26	$35.00	$3.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$285.00	$156.65
99219 Hospital observation care, typically 50 minutes	31	26	$235.00	$129.20
99217 Hospital observation care on day of discharge	25	22	$150.00	$69.20
99234 Hospital observation or inpatient care low severity, 40 minutes per day	21	19	$250.00	$126.78

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX L5306

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners

Dr. Richard Brown , MD

Surgery

NPI 1164511796

Doctor of Medicine (M.D.)

Dr. Barbara Marino , MD FACOG

Obstetrics & Gynecology - Gynecology

NPI 1336244714

MDFACOG

Suzanna Paxton , LCSW, LCDC, LMT

Social Worker - Clinical

NPI 1417966672

Licensed Clinical Social Worker, Licensed Chemical Dependency Counselor, Licensed Massage Therapist

Jennifer Crosby , FNP

Nurse Practitioner - Family

NPI 1548301310

Family Nurse Practitioner

Dr. George Murillo , MD

Family Medicine

NPI 1568426153

Doctor of Medicine (M.D.)

Dr. Ali Tabrizi , MD

Specialist

NPI 1639134349

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

⚠️

NPI Profile Deactivated July 29, 2020

Record deactivated on July 29, 2020

✅

NPI Profile Active December 14, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location December 14, 2009

Registered at 425 HOLDERRIETH BLVD, SUITE 209, TOMBALL, TX 773754551 (Tel: 2813578885)

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Updated Business Mailing Address December 14, 2009

Registered at 425 HOLDERRIETH BLVD, SUITE 209, TOMBALL, TX 773754543 (Tel: 2813578885)

👤

Provider Name / Credentials Updated December 14, 2009

Recorded as MICHAEL DITERESA, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2009

Internal Medicine (License #L5306 in TX)

🟢

Initial NPI Registration & Enumeration July 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831120716

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 06, 2006

Last Update: December 14, 2009

Deactivation Date: July 29, 2020

Update or Correct Profile

Mailing Address

425 Holderrieth Blvd, Suite 209

Tomball, TX 773754543

Phone: 2813578885

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.