Individual provider Active NPI

Jennifer Leigh Mike-Mayer, M.D.

  • Surgery Physician
  • Corpus Christi, TX
National Provider Identifier
1285073452
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
BP10048136 Issued in TX
Practice address
1521 S Staples St Ste 510
Corpus Christi, TX 78404-3152
Phone
(361) 882-4000
NPI assigned
Jun 20, 2013
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X BP10048136 TX Primary

Addresses

Primary practice location

1521 S Staples St Ste 510
Corpus Christi, TX 78404-3152

Mailing address

1521 S Staples St Ste 511
Corpus Christi, TX 78404-3150
Phone (361) 882-4000

Other practice location 1

1521 S Staples St Ste 511
Corpus Christi, TX 78404-3150
Phone (361) 277-0333

Other names 1

  • Jennifer Worsham Former name

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
I20180927000130 TX Practitioner - Vascular SurgeryPractitioner - General Surgery 0244581403 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
University of Texas Medical Branch at Galveston, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Texas Surgical Associates, PAGroup PAC ID 8022059013, 5 clinicians
Shea Physical Therapy Specialists LLCGroup PAC ID 6204245194, 194 clinicians

Practice addresses (Care Compare)

1521 S Staples St
Suite 510
Corpus Christi, TX 78404-3152
Phone (361) 882-4000

1521 S Staples St
Suite 511
Corpus Christi, TX 78404-3150
Phone (361) 882-4000

5440 Everhart Rd
Suite 1
Corpus Christi, TX 78411-4838
Phone (361) 994-5224

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Varicose vein removal208
Leg revascularization (restoring blood flow)85
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10048136TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nirp Beaumont, PLLC CurrentSince Aug 12, 2024 Accepting new patients
Corpus Christi Vascular PA CurrentSince Sep 15, 2024 Accepting new patients
Utmb Faculty Group Practice Surgery CurrentSince Aug 16, 2018 Accepting new patients
East Texas Surgical Associates, PA Surgery CurrentSince Aug 12, 2024 Accepting new patients
Methodist Physician Practices, PLLC Surgery PastSince Aug 12, 2024 Accepting new patients

Locations

350 Pine St
Ste 1415
Beaumont, TX 77701
Phone (409) 924-8600

1521 S Staples St
Ste 510
Corpus Christi, TX 78404
Phone (361) 882-4000

1521 S Staples St
Ste 511
Corpus Christi, TX 78404
Phone (361) 277-0333

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

9825 Eagle Dr
Mont Belvieu, TX 77523
Phone (281) 576-0670

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1285073452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 S STAPLES ST STE 511",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043150",
            "telephone_number": "361-882-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 S STAPLES ST STE 510",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043152",
            "telephone_number": "361-882-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1521 S Staples St Ste 511",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784043150",
            "country_code": "US",
            "telephone_number": "361-277-0333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKE-MAYER",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "BP10048136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WORSHAM",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.