Active NPI
Jonathan Matthew Lau, PA-AA
- Anesthesiologist Assistant
- Houston, TX
National Provider Identifier
1134479991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 1377
- Practice address
- 1500 Citywest Blvd Ste 300
Houston, TX 77042-2549 - Phone
- (713) 620-4000
- NPI assigned
- Sep 19, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 1377 | TX | Primary |
| Anesthesiologist Assistant | 367H00000X | AA156 | FL |
Addresses
Primary practice location
1500 Citywest Blvd Ste 300
Houston, TX 77042-2549
Mailing address
PO Box 840853
Dallas, TX 75284-0853
Other practice location 1
4725 N. Federal Highway
Fort Lauderdale, FL 33308-4603
Phone (954) 493-5005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.94 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Physicians Network PLLC | Current | Accepting new patients |
Locations
504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111
3300 Oak Lawn Ave
Ste 200
Dallas, TX 75219
Phone (214) 252-3500
6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000
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.
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1396274676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599177600000",
"number": "1134479991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840853",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 CITYWEST BLVD STE 300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770422549",
"telephone_number": "713-620-4000"
}
],
"practiceLocations": [
{
"address_1": "4725 N. Federal Highway",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333084603",
"country_code": "US",
"telephone_number": "954-493-5005",
"fax_number": "954-938-0957",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAU",
"first_name": "JONATHAN",
"middle_name": "MATTHEW",
"credential": "PA-AA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-19",
"last_updated": "2020-09-04",
"certification_date": "2020-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "TX",
"license": "1377",
"primary": true
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "FL",
"license": "AA156",
"primary": false
}
],
"identifiers": [],
"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 Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.