Active NPI
John Paek, D.O.
- Surgery Physician
- Kingwood, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- S1478
- Practice address
- 22999 Highway 59 N Ste B220
West Tower
Kingwood, TX 77339-4460 - Phone
- (682) 224-3748
- Fax
- (682) 841-0039
- NPI assigned
- Feb 14, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | S1478 | TX | Primary |
Addresses
Primary practice location
22999 Highway 59 N Ste B220
West Tower
Kingwood, TX 77339-4460
Mailing address
800 8TH Ave Ste 306
Fort Worth, TX 76104-2602
Phone (682) 224-3748
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22999 Hwy 59 N
Suite B220
Kingswood, TX 77339-4460
Phone (281) 516-8184
Hospital & facility affiliations
- HCA Houston Healthcare Kingwood
- Memorial Hermann Northeast Hospital
- HCA Houston Healthcare Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 21 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S1478 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMH Physician Associates PLLC | Current | Accepting new patients | |
| Little Lantern Clinic LLC | Surgery | Current | Accepting new patients |
| TMH Physician Associates PLLC | Current | Accepting new patients |
Locations
4541 N Josey Ln
Ste 110
Carrollton, TX 75010
Phone (469) 775-9555
9 Medical Pkwy
Ste 210
Farmers Branch, TX 75234
Phone (214) 449-6511
6550 Fannin St
Ste 1501
Houston, TX 77030
Phone (713) 441-5141
7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955
Interoperability endpoints
- jpaek235613@directhoustonmethodist.org
- jpaek223204@direct.hfhs.org
- john.paek@ntss.eclinicaldirectplus.com
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.
-
- Surgery Physician
- Fort Worth, TX
- NPI 1831625292
-
- Ophthalmology Physician
- Houston, TX
- NPI 1275779225
-
- Orthopaedic Surgery Physician
- Spring, TX
- NPI 1043061351
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1073043592
-
- General Acute Care Hospital
- Kingwood, TX
- NPI 1811942238
-
- General Acute Care Hospital
- Humble, TX
- NPI 1295843787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1225452907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 8TH AVE STE 306",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042602",
"telephone_number": "682-224-3748",
"fax_number": "682-841-0039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22999 HIGHWAY 59 N STE B220",
"address_2": "WEST TOWER",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773394460",
"telephone_number": "682-224-3748",
"fax_number": "682-841-0039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAEK",
"first_name": "JOHN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-14",
"last_updated": "2023-04-28",
"certification_date": "2023-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "S1478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.