Individual provider Active NPI

Jose Badillo

  • Family Nurse Practitioner
  • Kingwood, TX
National Provider Identifier
1265055396
Registry record updated May 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142936 Issued in TX
Practice address
2527 Chestnut Ridge Dr
Kingwood, TX 77339-3031
Phone
(281) 358-4747
NPI assigned
May 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP142936 TX Primary

Addresses

Primary practice location

2527 Chestnut Ridge Dr
Kingwood, TX 77339-3031

Mailing address

2040 Greenhouse Rd Apt 2118
Houston, TX 77084-7815
Phone (832) 687-0475

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
I20241209001775 TX Practitioner - Nurse Practitioner 7517493976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Bend Family Health Center IncGroup PAC ID 7113999780, 18 clinicians

Practice addresses (Care Compare)

400 Austin St
Richmond, TX 77469-4406
Phone (281) 342-4530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Bend Family Health Center, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Fort Bend Family Health Center, Inc CurrentSince Nov 1, 2024 Accepting new patients
Associated Psychiatric Consultants of North Houston Inc PastSince May 31, 2020 Accepting new patients

Locations

400 Austin St
Richmond, TX 77469
Phone (281) 342-4530

Interoperability endpoints

  • Direct secure messaging: jose.badillo.p1@direct.accesshealth.nextgenshare.com

Organizations & group practices 8

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": "1590192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590192000000",
    "number": "1265055396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 GREENHOUSE RD APT 2118",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847815",
            "telephone_number": "832-687-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2527 CHESTNUT RIDGE DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393031",
            "telephone_number": "281-358-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADILLO",
        "first_name": "JOSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-23",
        "last_updated": "2020-05-23",
        "certification_date": "2020-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.