Active NPI
Jessica Lan To, MD
- Pediatrics Physician
- Katy, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- U1147
- Practice address
- 23900 Katy Fwy
Katy, TX 77494-1323 - Phone
- (281) 644-7000
- NPI assigned
- Apr 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | U1147 | TX | Primary |
Addresses
Primary practice location
23900 Katy Fwy
Katy, TX 77494-1323
Mailing address
6431 Fannin Street
MSB 3.151
Houston, TX 77030
Other practice location 1
6431 Fannin Street
MSB 3.151
Houston, TX 77030
Phone (832) 618-9315
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Pediatrics | Current | Accepting new patients |
| Ut Physicians | Current | Accepting new patients | |
| Memorial Hermann Health System | Past | Accepting new patients |
Locations
6431 Fannin St
#3151
Houston, TX 77030
Phone (713) 500-5800
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
6410 Fannin St
Ste LL135
Houston, TX 77030
Phone (832) 325-6543
23900 Katy Fwy
Katy, TX 77494
Phone (281) 644-7000
Organizations & group practices 3
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.
-
- Health Educator
- Houston, TX
- NPI 1316534472
-
- General Acute Care Hospital
- Katy, TX
- NPI 1932152337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698278400000",
"number": "1023647997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6431 FANNIN STREET",
"address_2": "MSB 3.151",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23900 KATY FWY",
"city": "KATY",
"state": "TX",
"postal_code": "774941323",
"telephone_number": "281-644-7000"
}
],
"practiceLocations": [
{
"address_1": "6431 Fannin Street",
"address_2": "MSB 3.151",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "77030",
"country_code": "US",
"telephone_number": "832-618-9315",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TO",
"first_name": "JESSICA",
"middle_name": "LAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-03",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "U1147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.