NPIMap

Individual provider Active NPI

Jerome Charles Wasserstein, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Houston, TX
National Provider Identifier
1174584452
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
E3619 Issued in TX
Practice address
4545 Post Oak Place Dr
Suite 130
Houston, TX 77027-3164
Phone
(713) 960-8008
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X E3619 TX Primary

Addresses

Primary practice location

4545 Post Oak Place Dr
Suite 130
Houston, TX 77027-3164

Mailing address

4545 Post Oak Place Dr
Suite 130
Houston, TX 77027-3164
Phone (713) 960-8008

Other identifiers 2

IdentifierTypeStateIssuer
P00087AP8MedicaidTX
133441902MedicaidTX

Other names 1

  • Dr. Jerome C Wasserstein Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120829000201 TX Practitioner - Family PracticePractitioner - Geriatric Medicine 6305825233 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CS Pacs 3 Southwest, LLCGroup PAC ID 1254879620, 23 clinicians

Practice addresses (Care Compare)

310 E Lawrence St
Dayton, TX 77535-1805
Phone (936) 258-7227

Hospital & facility affiliations

  • Faith Community Hospice LLC Hospice, Baytown, TX, CCN 451787
  • Harbor Hospice of Baytown LP Hospice, Baytown, TX, CCN 671645
  • Valor Hospice Hospice, Fort Worth, TX, CCN 741787
  • Liberty Dayton Regional Medical Center Hospital, Liberty, TX, CCN 451375
  • Houston Methodist Baytown Hospital Hospital, Baytown, TX, CCN 450424
  • St James House of Baytown Nursing home, Baytown, TX, CCN 675999
  • Liberty Health Care Center Nursing home, Liberty, TX, CCN 675540
  • Dayton Nursing and Rehabilitation Nursing home, Dayton, TX, CCN 455642
  • Bay Ridge Healthcare Center Nursing home, La Porte, TX, CCN 675052
  • Focused Care at Burnet Bay Nursing home, Baytown, TX, CCN 675849

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NV Pacs 2 LLC CurrentSince Jul 1, 2021 Accepting new patients
Ipc Pac Healthcare Services of Texas PLLC CurrentSince Sep 1, 2016 Accepting new patients
CS Pacs 3 Southwest, LLC CurrentSince Sep 9, 2024 Accepting new patients
Chambers County Public Hospital District No. 1 Past Accepting new patients
Geriatric Associates of America-Texas, PLLC Geriatric Medicine Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients
Nexion Health at Bay Ridge, Inc. Past Accepting new patients
DT Dayton, LLC Past Accepting new patients
Winnie-Stowell Hospital District PastSince Jun 1, 2024 Accepting new patients
Winnie-Stowell Hospital District Past Accepting new patients

Locations

999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088

5800 W Baker Rd
Baytown, TX 77520
Phone (281) 424-4541

310 E Lawrence St
Dayton, TX 77535
Phone (936) 258-7227

5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000

201 Sycamore School Rd
#R
Fort Worth, TX 76134
Phone (817) 293-7610

6301 Oakmont Blvd
Ft Worth, TX 76132
Phone (682) 250-4055

415 Indian Oaks Dr
Harker Hts, TX 76548
Phone (254) 699-5051

721 W Mulberry St
Holiday Lakes, TX 77515
Phone (979) 848-0279

13500 Breton Ridge St
Houston, TX 77070
Phone (281) 807-4744

7887 Cambridge St
Houston, TX 77054
Phone (713) 796-2777

15880 Wallisville Rd
Houston, TX 77049
Phone (281) 457-6242

4545 Post Oak Place Dr
Ste 130
Houston, TX 77027
Phone 7139608008107

2101 W Northgate Dr
Irving, TX 75062
Phone (972) 255-4460

208 S Utah St
La Porte, TX 77571
Phone (281) 471-1810

413 Garland Dr
Lake Jackson, TX 77566
Phone (979) 297-3266

811 Garner Rd
Pasadena, TX 77502
Phone (713) 473-0687

6800 Preston Rd
Plano, TX 75024
Phone (214) 473-3634

6211 S New Braunfels Ave
#T
San Antonio, TX 78223
Phone (210) 531-0569

424 Tarpey Rd
#C
Texas City, TX 77591
Phone (409) 938-8431

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Focused Care at Burnet BayBaytown, TX, CCN 675849 Skilled nursing facility Adp of the SNF May 1, 2021
Liberty Health Care CenterLiberty, TX, CCN 675540 Skilled nursing facility Adp of the SNF Jun 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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 10

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1174584452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 POST OAK PLACE DR",
            "address_2": "SUITE 130",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770273164",
            "telephone_number": "713-960-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 POST OAK PLACE DR",
            "address_2": "SUITE 130",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770273164",
            "telephone_number": "713-960-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERSTEIN",
        "first_name": "JEROME",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "E3619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P00087AP8",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133441902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEROME",
            "last_name": "WASSERSTEIN",
            "middle_name": "C",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.