Mouin Mahmoud Jaber, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K2500 Issued in TX

Practice address

3504 NE 24TH Ave
Amarillo, TX 79107-6920

Phone

(806) 381-1732

NPI assigned

Aug 24, 2006

Last updated

May 20, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Internal Medicine

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bsa Hospital Hospital, Amarillo, TX, CCN 450231
• Golden Plains Community Hospital Hospital, Borger, TX, CCN 451369

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• June Bounsing

  • Nurse Practitioner
  • Amarillo, TX
  • NPI 1922465319
  Medicare reassignment

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

• Jaber Medicine PLLC

  • Internal Medicine Physician
  • Amarillo, TX
  • NPI 1538885348
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bsa Hospital LLC

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1407191984
  Care Compare affiliation
• GPCH, LLC

  dba Lighthouse-Borger

  • Geriatric Psychiatry Physician
  • Borger, TX
  • NPI 1205358694

  Hospital

  Care Compare affiliation
• GPCH, LLC

  dba Golden Plains Community Hospital

  • Critical Access Hospital
  • Borger, TX
  • NPI 1841497153
  Care Compare affiliation

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1033226915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5159",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791175159",
            "telephone_number": "806-381-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504 NE 24TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791076920",
            "telephone_number": "806-381-1732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABER",
        "first_name": "MOUIN",
        "middle_name": "MAHMOUD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K2500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127659403",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110182583",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "115836100",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark W. Izzard, PSY. D.
• J Craig Gladman O.D. P.a.
• J. Brian Sims, MD, PA
• J. Michael Archer DDS Inc
• Jaber Medicine PLLC
• Behnoush Jaberian Doraji, P.A.
• Sheida Jaberian Doraji, DO
• Jack Duncan Rhodes Foundation
• Benjamin T Jackson, HIS
• Caitlyn Jo Jackson, PTA

• Internal Medicine Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.