Individual provider Active NPI

John David Chapman, PA-C

  • Surgical Physician Assistant
  • Houston, TX
National Provider Identifier
1184268617
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA13128 Issued in TX
Practice address
3701 Kirby Dr Ste 1230
Houston, TX 77098-3916
Phone
(713) 526-0005
Fax
(855) 802-2503
NPI assigned
Oct 28, 2019
Last updated
Dec 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA13128 TX Primary

Addresses

Primary practice location

3701 Kirby Dr Ste 1230
Houston, TX 77098-3916

Mailing address

14 Rogers Wood
San Antonio, TX 78248-1622

Other practice location 1

23960 Katy Fwy Ste 150
Katy, TX 77494-0891
Phone (713) 486-9800

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200107002179 TX Practitioner - Physician Assistant 2466886015 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Nov 18, 2019 Accepting new patients
Ut Physicians CurrentSince Nov 18, 2019 Accepting new patients
Gordon E. Crofoot M.D., P.a. Past Accepting new patients

Locations

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

23960 Katy Fwy
Ste 150
Katy, TX 77494
Phone (281) 347-0080

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEIAAA/Endpoint/EEIAAA

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1184268617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ROGERS WOOD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782481622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 KIRBY DR STE 1230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983916",
            "telephone_number": "713-526-0005",
            "fax_number": "855-802-2503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23960 Katy Fwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774940891",
            "country_code": "US",
            "telephone_number": "713-486-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-28",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA13128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.