Individual provider Active NPI

James R Jistel, M.D.

  • Anesthesiology Physician
  • Houston, TX
National Provider Identifier
1053362640
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
H0498 Issued in TX
Practice address
1313 Hermann Dr
Suite 270
Houston, TX 77004-7005
Phone
(281) 444-3681
Fax
(281) 580-2725
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X H0498 TX Primary

Addresses

Primary practice location

1313 Hermann Dr
Suite 270
Houston, TX 77004-7005

Mailing address

PO Box 73265
Houston, TX 77273-3265
Phone (281) 580-9030

Other identifiers 1

IdentifierTypeStateIssuer
103146001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0498TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1053362640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73265",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772733265",
            "telephone_number": "281-580-9030",
            "fax_number": "281-580-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 HERMANN DR",
            "address_2": "SUITE 270",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047005",
            "telephone_number": "281-444-3681",
            "fax_number": "281-580-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JISTEL",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "H0498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103146001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.