Individual provider Active NPI

Jessica Hersman Rankin, M.D.

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Houston, TX
National Provider Identifier
1225288962
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
Q9486 Issued in TX
Practice address
1102 Bates Ave
Houston, TX 77030-2617
Phone
(832) 824-8420
Fax
(832) 825-9187
NPI assigned
Sep 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Q9486 TX
Pediatrics Physician 208000000X 125-055330 IL
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X Q9486 TX Primary
Emergency Medicine Physician 207P00000X A116275 CA

Addresses

Primary practice location

1102 Bates Ave
Houston, TX 77030-2617

Mailing address

1102 Bates Ave
Houston, TX 77030-2698
Phone (832) 824-8420

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
I20161207000757 TX Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 7315117124 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-055330ILMDPediatrics Physician
Q9486TXMDPediatric Emergency Medicine (Pediatrics) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Longhorn Emergency Medical Associates PA Emergency Medicine CurrentSince Nov 1, 2016 Accepting new patients
Texas Children's Physician Group Pediatrics CurrentSince Aug 28, 2023 Accepting new patients
Children's Hospital Los Angeles Medical Group, Inc. Pediatrics Past Accepting new patients
Texas Children's Hospital Past Accepting new patients

Locations

8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

12201 Renfert Way
Ste 110
Austin, TX 78758
Phone (512) 491-5125

1102 Bates Ave
#1450
Houston, TX 77030

1102 Bates Ave
Houston, TX 77030
Phone (832) 822-4556

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.

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1225288962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 BATES AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302698",
            "telephone_number": "832-824-8420",
            "fax_number": "832-825-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 BATES AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302617",
            "telephone_number": "832-824-8420",
            "fax_number": "832-825-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANKIN",
        "first_name": "JESSICA",
        "middle_name": "HERSMAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q9486",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125-055330",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "TX",
            "license": "Q9486",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A116275",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.