Individual provider Active NPI

Jerry Y Tsao, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1013952746
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J6779 Issued in TX
Practice address
7850 Parkwood Circle Dr Ste a-6
Houston, TX 77036-6760
Phone
(713) 772-8885
Fax
(713) 772-7825
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J6779 TX Primary

Addresses

Primary practice location

7850 Parkwood Circle Dr Ste a-6
Houston, TX 77036-6760

Mailing address

7850 Parkwood Circle Dr Ste a-6
Houston, TX 77036-6760
Phone (713) 772-8885

Other identifiers 2

IdentifierTypeStateIssuer
8AJ335OtherTXBLUE CROSS BLUE SHIELD
096478502MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080225000716 TX Practitioner - Family Practice 3870677131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7850 Parkwood Circle Dr
Houston, TX 77036-6760
Phone (713) 772-8885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J6779TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bellaire Doctors Family Medicine CurrentSince Apr 30, 2003 Accepting new patients

Locations

7850 Parkwood Circle Dr
Ste A-6
Houston, TX 77036
Phone (713) 772-8885

Networks

  • TX HMO

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1013952746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7850 PARKWOOD CIRCLE DR STE A-6",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770366760",
            "telephone_number": "713-772-8885",
            "fax_number": "713-772-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 PARKWOOD CIRCLE DR STE A-6",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770366760",
            "telephone_number": "713-772-8885",
            "fax_number": "713-772-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSAO",
        "first_name": "JERRY",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J6779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8AJ335",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096478502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.