Active NPI
Lijo John, MD
- Medical Oncology Physician
- Longview, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- P7933
- Practice address
- 1300 N 4TH St
Longview, TX 75601-4717 - Phone
- (903) 757-2122
- Fax
- (903) 757-9475
- NPI assigned
- Apr 5, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | P7933 | TX | |
| Medical Oncology Physician | 207RX0202X | P7933 | TX | Primary |
Addresses
Primary practice location
1300 N 4TH St
Longview, TX 75601-4717
Mailing address
PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 336215402 | Medicaid | TX | |
| 336215401 | 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
- Internal Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1300 N 4TH St
Longview, TX 75601-4717
Phone (903) 757-2122
1400 N 4TH St
Longview, TX 75601-4756
Phone (903) 757-2122
2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 586-2456
501 Saunders Ave
Tyler, TX 75702-7524
Phone (903) 579-9800
701 S Washington Ave
Suite a
Marshall, TX 75670-5335
Phone (903) 757-2122
7848 Gateway Blvd E
El Paso, TX 79915-1815
Phone (915) 599-1313
815 S Washington Ave
Suite 204
Marshall, TX 75670-5341
Phone (903) 935-4601
PO Box
Suite 911242
Dallas, TX 75391-1242
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.12 of 100
- Quality
- 67.48
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P7933 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Medical Oncology | Current | Accepting new patients |
| Texas Oncology PA | Medical Oncology | Current | Accepting new patients |
Locations
7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000
7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
1300 N 4th St
Longview, TX 75601
Phone (903) 757-2122
815 S Washington Ave
Ste 204
Marshall, TX 75670
Phone (903) 934-5380
Interoperability endpoints
- lijo.john@txo.ikm.direct-ci.com
Organizations & group practices 2
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.
-
- Medical Oncology Physician
- El Paso, TX
- NPI 1811944101
-
- Medical Oncology Physician
- Pearland, TX
- NPI 1912174350
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Longview, TX
- NPI 1124092036
-
dba Longview Regional Medical Center
- General Acute Care Hospital
- Longview, TX
- NPI 1528026267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463529600000",
"number": "1295050037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 911230",
"city": "DALLAS",
"state": "TX",
"postal_code": "753911230",
"telephone_number": "972-997-8000",
"fax_number": "972-234-2987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N 4TH ST",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756014717",
"telephone_number": "903-757-2122",
"fax_number": "903-757-9475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHN",
"first_name": "LIJO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-05",
"last_updated": "2016-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "P7933",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "TX",
"license": "P7933",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "336215402",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "336215401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.