Individual provider Active NPI

Jayavani Moodley, M.D.

  • Hospitalist Physician
  • Houston, TX
National Provider Identifier
1215101464
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
Q0511 Issued in TX
Practice address
7600 Beechnut St
Houston, TX 77074
Phone
(440) 525-0108
NPI assigned
Apr 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57.011304 OH
Internal Medicine Physician 207R00000X Q0511 TX
General Acute Care Hospital 282N00000X A108467 CA
Hospitalist Physician 208M00000X Q0511 TX Primary

Addresses

Primary practice location

7600 Beechnut St
Houston, TX 77074

Mailing address

7600 Beechnut St
Houston, TX 77074-4302
Phone (713) 456-5686

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
I20150722006188 TX Practitioner - HospitalistPractitioner - Family PracticePractitioner - Internal Medicine 7911044698 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hermann Medical GroupGroup PAC ID 7012008360, 760 clinicians

Practice addresses (Care Compare)

23900 Katy Fwy
Katy, TX 77494-1323
Phone (281) 644-8111

915 Gessner Rd
Suite 100
Houston, TX 77024-2537
Phone (713) 242-2222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.011304OHMDInternal Medicine Physician
Q0511TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Medical Group Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Jun 15, 2015 Accepting new patients
Hni Medical Services Internal Medicine Past Accepting new patients
Memorial Hermann Health System General Acute Care Hospital Past Accepting new patients

Locations

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

921 Gessner Rd
Rm 317
Houston, TX 77024
Phone (713) 242-3768

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

9250 Pinecroft Dr
Ste N2101
Shenandoah, TX 77380
Phone (713) 897-2307

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

Organizations & group practices 4

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": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1215101464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 BEECHNUT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770744302",
            "telephone_number": "713-456-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 BEECHNUT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77074",
            "telephone_number": "440-525-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODLEY",
        "first_name": "JAYAVANI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-18",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.011304",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q0511",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "A108467",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "Q0511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.