Active NPI
Jessica Traver, M.D.
- Pediatric Orthopaedic Surgery Physician
- Sugar Land, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- S2920
- Practice address
- 17520 W Grand Pkwy S Ste 200
Sugar Land, TX 77479-4759 - Phone
- (713) 486-1600
- NPI assigned
- Jun 29, 2011
- Sex
- Female
- 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 | 2011016885 | MO | |
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | S2920 | TX | Primary |
Addresses
Primary practice location
17520 W Grand Pkwy S Ste 200
Sugar Land, TX 77479-4759
Mailing address
3333 Lake St Unit 15E
Houston, TX 77098-2164
Phone (832) 652-0034
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 405402505 | Medicaid | TX |
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
- Orthopedic Surgery
- Education
- University of Texas Medical School at Houston, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17520 W Grand Pkwy S
Suite 200
Sugar Land, TX 77479-4759
Phone (713) 486-1600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S2920 | TX | MD | Pediatric Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Current | Accepting new patients | |
| Ut Physicians | Current | Accepting new patients | |
| Kelsey-Seybold Medical Group, PLLC | Current | Accepting new patients |
Locations
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412
23910 Katy Fwy
Ste 201
Katy, TX 77494
Phone (713) 486-7900
11511 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 442-4997
8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200
17520 W Grand Pkwy S
Ste 200
Sugar Land, TX 77479
Phone (713) 486-1600
Interoperability endpoints
- jtraver12688@direct.uth.org
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Houston, TX
- NPI 1033157821
-
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1013915255
-
- Health Educator
- Houston, TX
- NPI 1316534472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661212800000",
"number": "1275820169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 LAKE ST UNIT 15E",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770982164",
"telephone_number": "832-652-0034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17520 W GRAND PKWY S STE 200",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774794759",
"telephone_number": "713-486-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVER",
"first_name": "JESSICA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-29",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MO",
"license": "2011016885",
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "TX",
"license": "S2920",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "405402505",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.