Individual provider Active NPI

Jita De, M.D.

  • Hematology (Pathology) Physician
  • Houston, TX
National Provider Identifier
1225287246
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Pathology) PhysicianTaxonomy code 207ZH0000X
License
A110924 Issued in CA
Practice address
7205 Almeda Rd # 30246
Houston, TX 77054-2191
Phone
(713) 480-3159
NPI assigned
Sep 15, 2008
Last updated
Mar 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X M9957 TX
Hematology (Pathology) Physician 207ZH0000X 47658 TN
Hematology (Pathology) Physician 207ZH0000X 0101249886 VA
Hematology (Pathology) Physician 207ZH0000X 4301089334 MI
Hematology (Pathology) Physician 207ZH0000X 042-0015106 VT
Hematology (Pathology) Physician 207ZH0000X A110924 CA Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X M9957 CA
Clinical Pathology Physician 207ZC0006X 042-0015106 VT

Addresses

Primary practice location

7205 Almeda Rd # 30246
Houston, TX 77054-2191

Mailing address

2973 Harbor Blvd # 148
Costa Mesa, CA 92626-3912
Phone (713) 480-3159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY, VT, OH4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20091201000555 TX Practitioner - Pathology 1951440155 Reassigns benefits to 1 organization
I20210119000283 NY Practitioner - Pathology 1951440155 Reassigns benefits to 2 organizations
I20210215000198 VT Practitioner - PathologyPractitioner - Hematology 1951440155 Reassigns benefits to 3 organizations
I20240828003572 OH Practitioner - Pathology 1951440155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.59 of 100Reported as group
Quality
59.57
Promoting interoperability
100
Improvement activities
40
Cost
71.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042-0015106VTMDClinical Pathology Physician
A110924CAMDHematology (Pathology) Physician
4301089334MIMDHematology (Pathology) Physician
47658TNMDHematology (Pathology) Physician
0101249886VAMDHematology (Pathology) Physician
M9957CAMDAnatomic Pathology & Clinical Pathology Physician
M9957TXMDGeneral Acute Care Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Central Vermont Medical Center Inc CurrentSince Feb 10, 2021 Accepting new patients
Albany Medical College CurrentSince Nov 2, 2020 Accepting new patients
Baylor College of Medicine Clinical Pathology CurrentSince Mar 1, 2020 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Jul 25, 2024 Accepting new patients
Albany Medical College CurrentSince Nov 2, 2020 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Jul 25, 2024 Accepting new patients
Albany Medical College CurrentSince Nov 2, 2020 Accepting new patients
University of Vermont Medical Center Inc Anatomic Pathology & Clinical Pathology CurrentSince Feb 10, 2021 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince May 1, 2023 Accepting new patients
Central Vermont Medical Center Inc CurrentSince Feb 10, 2021 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Clinical Pathology CurrentSince May 1, 2023 Accepting new patients
Gulf Coast Pathology Program PLLC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

43 New Scotland Ave
Albany, NY 12208
Phone (518) 262-5149

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

1115 Avenue G
Bay City, TX 77414
Phone (979) 245-6383

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

21214 Northwest Fwy
Cypress, TX 77429
Phone (832) 912-3500

481 Ih 45 S
Ste 7
Huntsville, TX 77340
Phone (409) 291-9704

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

130 Fisher Rd
Barre, VT 05641
Phone (802) 371-4235

130 Fisher Rd
Berlin, VT 05602
Phone (802) 225-5820

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

Organizations & group practices 12

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": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1225287246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2973 HARBOR BLVD # 148",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263912",
            "telephone_number": "713-480-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 ALMEDA RD # 30246",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542191",
            "telephone_number": "713-480-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE",
        "first_name": "JITA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "M9957",
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "TN",
            "license": "47658",
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "VA",
            "license": "0101249886",
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "MI",
            "license": "4301089334",
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "VT",
            "license": "042-0015106",
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "CA",
            "license": "A110924",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "M9957",
            "primary": false
        },
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "VT",
            "license": "042-0015106",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.