Active NPI
Jae Dequina, DO
- Family Medicine Physician
- Pearland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- T5867
- Practice address
- 10907 Memorial Hermann Dr Ste 100
Pearland, TX 77584-4114 - Phone
- (713) 413-6610
- Fax
- (713) 413-6601
- NPI assigned
- Apr 18, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | T5867 | TX | Primary |
Addresses
Primary practice location
10907 Memorial Hermann Dr Ste 100
Pearland, TX 77584-4114
Mailing address
930 Frostwood Dr Ste 2.200
Houston, TX 77024-2450
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
- Family Practice
- Education
- University of North Texas HSC, College of Osteopathic Med, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10907 Memorial Hermann Dr
Pearland, TX 77584-4114
3203 Broadway St
Pearland, TX 77581-1414
Phone (281) 485-8876
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T5867 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hermann Medical Group | Family Medicine | Current | Accepting new patients |
| Medicorp on Call, P.a. | Family Medicine | Past | Accepting new patients |
Locations
1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800
1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781
930 Frostwood Dr
Ste 2200
Houston, TX 77024
915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222
10907 Memorial Hermann Dr
Ste 100
Pearland, TX 77584
Phone (713) 413-6610
3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876
14023 Southwest Fwy
Sugar Land, TX 77478
Phone (281) 325-4100
Interoperability endpoints
- jdequina65611@memorialhermann.direct-ci.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Fulshear, TX
- NPI 1003985102
-
- Family Medicine Physician
- Houston, TX
- NPI 1285727933
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Houston, TX
- NPI 1306544689
-
dba MHHS NW Radiation Therapy
- Radiology Clinic/Center
- Houston, TX
- NPI 1013948553
Hospital
-
dba MHHS Woodlands Outpatient Imaging System
- Radiology Clinic/Center
- The Woodlands, TX
- NPI 1275564858
Hospital
-
dba Memorial Hermann Outpatient Imaging-Southwest
- Radiology Clinic/Center
- Houston, TX
- NPI 1407959448
Hospital
-
dba MHHS Friendswood Imaging
- Radiology Clinic/Center
- Friendswood, TX
- NPI 1508896267
Hospital
-
dba MHHS Pearland Outpatient Imaging Center
- Radiology Clinic/Center
- Pearland, TX
- NPI 1669402335
Hospital
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1265095970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 FROSTWOOD DR STE 2.200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10907 MEMORIAL HERMANN DR STE 100",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775844114",
"telephone_number": "713-413-6610",
"fax_number": "713-413-6601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEQUINA",
"first_name": "JAE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-18",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "T5867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.