Individual provider Active NPI

Joanna K Ira, M.D.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1114120631
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M6480 Issued in TX
Practice address
1905 Holcombe Blvd
Houston, TX 77030-4123
Phone
(713) 677-7262
Fax
(713) 677-7184
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M6480 TX Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X M6480 TX
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X M6480 TX
Hospitalist Physician 208M00000X M6480 TX

Addresses

Primary practice location

1905 Holcombe Blvd
Houston, TX 77030-4123

Mailing address

3855 Tartan LN
Houston, TX 77025-2411
Phone (281) 413-8078

Other identifiers 3

IdentifierTypeStateIssuer
TXB158821OtherTXMEDICARE INDIVIDUAL PTAN
8M9182OtherTXBLUE CROSS BLU SHIELD
TXB158820OtherTXMEDICARE GROUP PTAN

Other names 1

  • Dr. Joanna K Smiechowska Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080319000299 TX Practitioner - Internal MedicinePractitioner - Geriatric Medicine 2264518067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Community Health Services, IncGroup PAC ID 7911969092, 153 clinicians

Practice addresses (Care Compare)

1415 California St
Houston, TX 77006-2602
Phone (832) 548-5100

2222 Cleburne St
Suite 108
Houston, TX 77004-5177
Phone (832) 548-5000

3021 Texas Pkwy
Missouri City, TX 77489-5242
Phone (832) 548-5000

6441 High Star Dr
Houston, TX 77074-5005
Phone (832) 548-5300

Hospital & facility affiliations

  • Memorial Hermann Sugar Land Hospital Hospital, Sugar Land, TX, CCN 450848
  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M6480TXMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Community Health Services, Inc CurrentSince Jun 15, 2017 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Jun 15, 2017 Accepting new patients
George Burnazian MD, PA Internal Medicine PastSince Apr 9, 2012 Accepting new patients
Raj Associates, LLP Internal Medicine Past Accepting new patients

Locations

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

2222 Cleburne St
Ste 108
Houston, TX 77004

3811 Lyons Ave
Houston, TX 77020
Phone (713) 814-3494

3021 Texas Pkwy
Missouri City, TX 77489

12540 Sugardale Dr
Stafford, TX 77477
Phone (601) 815-1368

Organizations & group practices 4

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1114120631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 TARTAN LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770252411",
            "telephone_number": "281-413-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 HOLCOMBE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304123",
            "telephone_number": "713-677-7262",
            "fax_number": "713-677-7184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRA",
        "first_name": "JOANNA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M6480",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "M6480",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "M6480",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "M6480",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "TXB158821",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLU SHIELD",
            "identifier": "8M9182",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "TXB158820",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "SMIECHOWSKA",
            "middle_name": "K",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.