Individual provider Active NPI

James Michael Cerone, PA-C

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1215138003
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06288TX Issued in TX
Practice address
4200 Scotland St
#310
Houston, TX 77007-7325
Phone
(917) 939-9737
NPI assigned
May 30, 2007
Last updated
Jun 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA06288TX TX Primary

Addresses

Primary practice location

4200 Scotland St
#310
Houston, TX 77007-7325

Mailing address

PO Box 1160
Stafford, TX 77497-1160
Phone (917) 939-9737

Other practice location 1

3619 Paesanos Pkwy Ste 300
San Antonio, TX 78231-1263
Phone (210) 496-2222

Other identifiers 1

IdentifierTypeStateIssuer
216177001MedicaidTX

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
I20100630000103 TX Practitioner - Physician Assistant 3678656568 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Centers of TexasGroup PAC ID 0345772893, 2 clinicians

Practice addresses (Care Compare)

3619 Paesanos Pkwy
Suite 302
San Antonio, TX 78231-1259
Phone (210) 469-3830

42 Pravia Path Dr
Missouri City, TX 77459-1696
Phone (917) 939-9737

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001901CTMDClinical Social Worker
011807NYMDMassage Therapist
PA06288TXTXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Jul 17, 2017 Accepting new patients
Adam Bruggeman MD PLLC Physician Assistant Past Accepting new patients

Locations

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

21222 Kingsland Blvd
Katy, TX 77450
Phone (281) 344-1715

1517 Thompson Rd
Richmond, TX 77469
Phone (281) 344-1715

Interoperability endpoints

  • Direct secure messaging: jcerone@direct.uspi.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1215138003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1160",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774971160",
            "telephone_number": "917-939-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 SCOTLAND ST",
            "address_2": "#310",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770077325",
            "telephone_number": "917-939-9737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3619 Paesanos Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782311263",
            "country_code": "US",
            "telephone_number": "210-496-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERONE",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06288TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216177001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.