Individual provider Active NPI

Jonathan M Magid, MD

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1114904687
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L4549 Issued in TX
Practice address
1701 Sunset Blvd
Houston, TX 77005-1713
Phone
(713) 526-5511
Fax
(713) 520-4755
NPI assigned
Dec 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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 L4549 TX Primary

Addresses

Primary practice location

1701 Sunset Blvd
Houston, TX 77005-1713

Mailing address

PO Box 4767
Houston, TX 77210-4767
Phone (713) 526-5511

Other identifiers 2

IdentifierTypeStateIssuer
167816101MedicaidTX
8H9845OtherTXBLUE CROSS BLUE SHIELD OF TEXAS

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
I20040714001385 TX Practitioner - Internal Medicine 2668451626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1707 Sunset Blvd
Houston, TX 77005-1713

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L4549TXMDInternal Medicine Physician
213969TXMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Norman B Frankel Et Al PTR Medical Clinic of Houston Internal Medicine CurrentSince Aug 1, 2004 Accepting new patients
Norman B Frankel Et Al PTR Medical Clinic of Houston CurrentSince Aug 1, 2004 Accepting new patients
Pulmonary and Internal Medicine Associates, L.L.P. Internal Medicine PastSince Aug 1, 2005 Accepting new patients
TMH Physician Associates PLLC Internal Medicine Past Accepting new patients
Premier Medical Doctors PLLC Internal Medicine PastSince Dec 1, 2020 Accepting new patients

Locations

1707 Sunset Blvd
Houston, TX 77005
Phone (713) 526-5511

1701 Sunset Blvd
Houston, TX 77005
Phone (713) 526-5511

1701 Sunset Blvd
Fl 5
Houston, TX 77005

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBICCD
  • Direct secure messaging: jmagid26386@direct.houstonmethodist.org

Organizations & group practices 5

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 11

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1114904687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4767",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104767",
            "telephone_number": "713-526-5511",
            "fax_number": "713-520-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SUNSET BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051713",
            "telephone_number": "713-526-5511",
            "fax_number": "713-520-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGID",
        "first_name": "JONATHAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L4549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167816101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
            "identifier": "8H9845",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.