Active NPI
Jose M Pujol, MD
- Internal Medicine Physician
- Live Oak, TX
National Provider Identifier
1043301120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- J3879
- Practice address
- 12702 Ih35 N
Live Oak, TX 78233-2609 - Phone
- (210) 650-9669
- Fax
- (210) 650-0750
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | J3879 | TX | Primary |
| Hospitalist Physician | 208M00000X | J3879 | TX |
Addresses
Primary practice location
12702 Ih35 N
Live Oak, TX 78233-2609
Mailing address
8109 Fredericksburg Rd
Physician Practice Services
San Antonio, TX 78229-3311
Phone (210) 650-9669
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8DL498 | Other | TX | BCBSTX |
| 0343444-02 | Medicaid | TX | |
| 034344404 | Medicaid | TX | |
| P01136172 | Other | RAILROAD MEDICARE |
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 |
|---|---|---|---|
| Laredo Physicians Group | Hospitalist | Current | Accepting new patients |
Locations
6801 McPherson Rd
Ste 331
Laredo, TX 78041
Phone (956) 704-1717
6801 McPherson Rd
Laredo, TX 78041
Phone (956) 721-0200
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": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401667200000",
"number": "1043301120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8109 FREDERICKSBURG RD",
"address_2": "PHYSICIAN PRACTICE SERVICES",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293311",
"telephone_number": "210-650-9669",
"fax_number": "210-650-0750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12702 IH35 N",
"city": "LIVE OAK",
"state": "TX",
"postal_code": "782332609",
"telephone_number": "210-650-9669",
"fax_number": "210-650-0750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUJOL",
"first_name": "JOSE",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2014-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "J3879",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TX",
"license": "J3879",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "8DL498",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0343444-02",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "034344404",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01136172",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Live Oak, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.