NPIMap

Individual provider Active NPI

Jennifer Lavette Johnson-Caldwell, MD

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1093711269
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K5571 Issued in TX
Practice address
1315 St Joseph Pkwy
Suite 140
Houston, TX 77002-8233
Phone
(713) 520-8963
Fax
(713) 523-6941
NPI assigned
Jun 22, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K5571 TX Primary

Addresses

Primary practice location

1315 St Joseph Pkwy
Suite 140
Houston, TX 77002-8233

Mailing address

1315 St Joseph Pkwy
Suite 140
Houston, TX 77002-8233
Phone (713) 520-8963

Other identifiers 1

IdentifierTypeStateIssuer
1571804-03MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040825000319 TX Practitioner - Internal Medicine 5597660324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at San Antonio, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Jennifer Johnson-Caldwell, M.D.,P.a.Group PAC ID 3779511175, 2 clinicians

Practice addresses (Care Compare)

1315 St Joseph Pkwy
Houston, TX 77002-8297
Phone (713) 520-8963

Hospital & facility affiliations

  • Caring Professional Health Services Inc Home health agency, Houston, TX, CCN 679152
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Womans Hospital of Texas,the Hospital, Houston, TX, CCN 450674
  • St Joseph Medical Center Hospital, Houston, TX, CCN 450035
  • Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Jennifer Johnson-Caldwell, M.D.,P.a. Internal Medicine CurrentSince Feb 3, 2003 Accepting new patients
On Site Counseling,Inc. CurrentSince Oct 14, 2019 Accepting new patients
Dr. Jennifer Johnson Caldwell, MD, PA Internal Medicine Current Accepting new patients
AIDS Foundation Houston, Inc. Past Accepting new patients
Advanced Chiropractic Clinic PC Past Accepting new patients
Central Metropolitan Medicine PA Internal Medicine Past Accepting new patients

Locations

2450 Louisiana St
Ste 400716
Houston, TX 77006
Phone (713) 492-2250

1315 St Joseph Pkwy
Ste 140
Houston, TX 77002
Phone (713) 520-8963

3007 Caroline St
Houston, TX 77004
Phone (713) 528-2328

1315 St Joseph Pkwy
Ste 1309
Houston, TX 77002
Phone (832) 366-1305

1315 St Joseph Pkwy
Ste 950
Houston, TX 77002
Phone (713) 356-7848

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAGACD/Endpoint/BAGACD
  • FHIR API: https://api.platform.athenahealth.com/17148/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jennifer.johnson-caldwell.1@17148.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1093711269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY",
            "address_2": "SUITE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028233",
            "telephone_number": "713-520-8963",
            "fax_number": "713-523-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY",
            "address_2": "SUITE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028233",
            "telephone_number": "713-520-8963",
            "fax_number": "713-523-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-CALDWELL",
        "first_name": "JENNIFER",
        "middle_name": "LAVETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K5571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1571804-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.