Individual provider Active NPI

Jeremy Garrett Foon, M.D.

  • Otolaryngology Physician
  • Galveston, TX
National Provider Identifier
1215371752
Registry record updated Apr 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
BP10047051 Issued in TX
Practice address
Utmb Department of Otolaryngology
301 University Blvd.
Galveston, TX 77555-0521
Phone
(409) 772-4688
Fax
(409) 772-1715
NPI assigned
Apr 27, 2013
Last updated
Apr 27, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X BP10047051 TX Primary

Addresses

Primary practice location

Utmb Department of Otolaryngology
301 University Blvd.
Galveston, TX 77555-0521

Mailing address

Utmb Department of Otolaryngology
301 University Blvd.
Galveston, TX 77555-0521
Phone (409) 772-4688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20180710003608 OK Practitioner - Otolaryngology 5193071843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
New York Medical College, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Oklahoma Ear Nose and Throat IncGroup PAC ID 6507851482, 21 clinicians

Practice addresses (Care Compare)

5020 E 68TH St
Tulsa, OK 74136-3307
Phone (918) 492-3636

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.88 of 100Reported as group
Quality
88.09
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10047051TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Oklahoma Ear, Nose & Throat Inc CurrentSince Jun 1, 2018 Accepting new patients
Tulsa Spine & Specialty Hospital Past Accepting new patients
Saint Francis Hospital, Inc. Past Accepting new patients

Locations

5020 E 68th St
Tulsa, OK 74136
Phone (918) 491-3314

9343 S Mingo Rd
Tulsa, OK 74133
Phone (918) 492-3636

Interoperability endpoints

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/TSSH/api/FHIR/R4
  • Direct secure messaging: jfoon172517@ahs.direct-ci.com

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.

Hospital & facility affiliations 3

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": "1367020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367020800000",
    "number": "1215371752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UTMB DEPARTMENT OF OTOLARYNGOLOGY",
            "address_2": "301 UNIVERSITY BLVD.",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550521",
            "telephone_number": "409-772-4688",
            "fax_number": "409-772-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UTMB DEPARTMENT OF OTOLARYNGOLOGY",
            "address_2": "301 UNIVERSITY BLVD.",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550521",
            "telephone_number": "409-772-4688",
            "fax_number": "409-772-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOON",
        "first_name": "JEREMY",
        "middle_name": "GARRETT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-27",
        "last_updated": "2013-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "BP10047051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.