Individual provider Active NPI

Jessica Traver, M.D.

  • Pediatric Orthopaedic Surgery Physician
  • Sugar Land, TX
National Provider Identifier
1275820169
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
S2920 Issued in TX
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

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
405402505MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191025001392 TX Practitioner - Orthopedic Surgery 2062714462 Reassigns benefits to 2 organizations

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
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

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

LicenseStateTypeSpecialty
S2920TXMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Sep 30, 2019 Accepting new patients
Ut Physicians CurrentSince Sep 30, 2019 Accepting new patients
Kelsey-Seybold Medical Group, PLLC CurrentSince Oct 7, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.