Jackson Edward Massanelli, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

U9595 Issued in TX

Practice address

2017 Broadway St
Pearland, TX 77581-5501

Phone

(281) 485-9990

Fax

(281) 485-9469

NPI assigned

Mar 24, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jmassanelli383815@prddirect.texaschildrens.org
• Direct secure messaging: jmassanelli@pearland.pcc-direct.com

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.

• Pearland Pediatric Urgent Care PA

  • Urgent Care Clinic/Center
  • Pearland, TX
  • NPI 1760888119
  NPD (past)
• Pearland Pediatrics

  • Pediatrics Physician
  • Pearland, TX
  • NPI 1588651681
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1184201592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BAYLOR PLZ # BCM320",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303411",
            "telephone_number": "832-824-1170",
            "fax_number": "832-825-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 BROADWAY ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815501",
            "telephone_number": "281-485-9990",
            "fax_number": "281-485-9469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSANELLI",
        "first_name": "JACKSON",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-24",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "U9595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricardo Ernesto Martinez, LMT
• Rosalia Martinez, MASTER OF SCIENCE
• Serenity Martinez
• Angela Marunowski, M.S., CCC/SLP
• Mary Angela Knauss MD PA
• Keshunda Massington
• Autumn Tye Mast, PA-C
• Master Imaging, LLC
• Kristin Mata
• Lisa Mata

• Pediatrics Physician in Pearland, TX
• Providers in Pearland, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.