Individual provider Active NPI

Geoffrey Ali Jahan- Tigh, MD

  • Family Medicine Physician
  • Baytown, TX
National Provider Identifier
1164544227
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J5356 Issued in TX
Practice address
4310 Garth Rd
Baytown, TX 77521-1668
Phone
(281) 425-6965
Fax
(832) 556-2925
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J5356 TX Primary

Addresses

Primary practice location

4310 Garth Rd
Baytown, TX 77521-1668

Mailing address

4310 Garth Rd
Baytown, TX 77521-1668
Phone (281) 425-6965

Other identifiers 1

IdentifierTypeStateIssuer
J5356OtherTNMEDICAL LICENSE

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
I20050613001084 TX Practitioner - Family Practice 1355385154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4310 Garth Rd
Baytown, TX 77521-3114
Phone (281) 425-6965

Hospital & facility affiliations

  • Houston Methodist Baytown Hospital Hospital, Baytown, TX, CCN 450424

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J5356TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ali Jahan-Tigh MD PA Family Medicine CurrentSince Apr 25, 2011 Accepting new patients
Matt R Khoshnevis MD PA Past Accepting new patients

Locations

4310 Garth Rd
Baytown, TX 77521
Phone (281) 425-6965

2802 Garth Rd
Ste 313
Baytown, TX 77521
Phone (281) 425-6965

Organizations & group practices 2

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 1

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1164544227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775211668",
            "telephone_number": "281-425-6965",
            "fax_number": "832-556-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775211668",
            "telephone_number": "281-425-6965",
            "fax_number": "832-556-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHAN- TIGH",
        "first_name": "GEOFFREY",
        "middle_name": "ALI",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2024-01-24",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J5356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "J5356",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.