Individual provider Active NPI

Jose A Mayans, MD

  • Ophthalmology Physician
  • Odessa, TX
National Provider Identifier
1124177654
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
F6029 Issued in TX
Practice address
907 W 2ND St
Odessa, TX 79763-4305
Phone
(432) 333-1324
Fax
(432) 337-7628
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X F6029 TX Primary

Addresses

Primary practice location

907 W 2ND St
Odessa, TX 79763-4305

Mailing address

907 West 2ND Street
Odessa, TX 79763-4305
Phone (432) 333-1324

Other identifiers 1

IdentifierTypeStateIssuer
0808248-01MedicaidTX

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
I20120221000382 TX Practitioner - Ophthalmology 2365600459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

907 W 2ND St
Odessa, TX 79763-4305
Phone (432) 333-1324

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.51 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
75.28

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery98

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
J a Mayans MD PA Ophthalmology CurrentSince Apr 1, 1998 Accepting new patients

Locations

907 W 2nd St
Odessa, TX 79763
Phone (432) 333-1324

Interoperability endpoints

  • Direct secure messaging: jmayansmd@swretina.direct.eyemdemr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1124177654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 WEST 2ND STREET",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797634305",
            "telephone_number": "432-333-1324",
            "fax_number": "432-337-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 W 2ND ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797634305",
            "telephone_number": "432-333-1324",
            "fax_number": "432-337-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYANS",
        "first_name": "JOSE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "F6029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0808248-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.