Active NPI
Fareesha Jiwani, PA
- Physician Assistant
- Port Arthur, TX
National Provider Identifier
1275108698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA14598
- Practice address
- 2555 Jimmy Johnson Blvd
Port Arthur, TX 77640-2007 - Phone
- (409) 724-7389
- NPI assigned
- May 26, 2021
- Last updated
- May 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA14598 | TX | Primary |
Addresses
Primary practice location
2555 Jimmy Johnson Blvd
Port Arthur, TX 77640-2007
Mailing address
1603 Meadowsweet Dr
Sugar Land, TX 77479-4082
Phone (832) 744-3737
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Post Oaks Care Center Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Post Oak Care Center
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- Houston, TX
- NPI 1649940958
-
- Child & Adolescent Psychiatry Physician
- Houston, TX
- NPI 1689913279
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Houston, TX
- NPI 1770887846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1275108698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1603 MEADOWSWEET DR",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774794082",
"telephone_number": "832-744-3737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 JIMMY JOHNSON BLVD",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776402007",
"telephone_number": "409-724-7389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIWANI",
"first_name": "FAREESHA",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-26",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA14598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Arthur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.