Individual provider Active NPI

Pavan Jhaveri, M.D.

  • Radiation Oncology Physician
  • Kingwood, TX
National Provider Identifier
1285895136
Registry record updated Apr 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
P1656 Issued in TX
Practice address
22730 Professional Dr
Kingwood, TX 77339
Phone
(281) 312-8545
Fax
(281) 312-8568
NPI assigned
Jun 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT193650 PA
Student in an Organized Health Care Education/Training Program 390200000X
Radiation Oncology Physician 2085R0001X P1656 TX Primary

Addresses

Primary practice location

22730 Professional Dr
Kingwood, TX 77339

Mailing address

1504 Taub Loop
Houston, TX 77030-1608

Other practice location 1

1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 798-1000

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
I20130806000724 TX Practitioner - Radiation Oncology 2769624626 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Baylor College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor College of MedicineGroup PAC ID 8224941265, 796 clinicians
Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

Practice addresses (Care Compare)

1502 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-4900

1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-2000

2525 A Holly Hall St
Houston, TX 77054-4124
Phone (713) 526-4243

7200 Cambridge St
Suite 1
Houston, TX 77030-4202
Phone (713) 798-2500

Hospital & facility affiliations

  • Baylor St Lukes Medical Center Hospital, Houston, TX, CCN 450193
  • Harris Health Hospital, Houston, TX, CCN 450289

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT193650PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Nov 1, 2013 Accepting new patients
Baylor College of Medicine CurrentSince Jul 1, 2013 Accepting new patients
Baylor College of Medicine Internal Medicine CurrentSince Nov 1, 2013 Accepting new patients
Baylor College of Medicine Internal Medicine CurrentSince Jul 1, 2013 Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

2525 Holly Hall St
#A
Houston, TX 77054
Phone (713) 526-4243

2457 S Braeswood Blvd
Houston, TX 77030
Phone (713) 520-8860

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

1919 Old Spanish Trl
Fl 1
Houston, TX 77054
Phone (713) 798-4321

1504 Taub Loop
#621
Houston, TX 77030

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649462400000",
    "number": "1285895136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 TAUB LOOP",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22730 PROFESSIONAL DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "281-312-8545",
            "fax_number": "281-312-8568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1504 Taub Loop",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301608",
            "country_code": "US",
            "telephone_number": "713-798-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JHAVERI",
        "first_name": "PAVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2022-04-09",
        "certification_date": "2022-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT193650",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "P1656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.