Individual provider Active NPI

Jason T Wang, M.D.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1295052504
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P3095 Issued in TX
Practice address
11548 Bellaire Blvd
Houston, TX 77072-2448
Phone
(281) 973-0024
Fax
(281) 973-0203
NPI assigned
Apr 26, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P3095 TX Primary

Addresses

Primary practice location

11548 Bellaire Blvd
Houston, TX 77072-2448

Mailing address

419 Cole St
Webster, TX 77598-5017
Phone (281) 973-0024

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
I20121018000143 TX Practitioner - Family Practice 3577713064 Reassigns benefits to 5 organizations
Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northeastern Ohio University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Action Therapy Centers LimitedGroup PAC ID 3173433265, shared by 3 NPIs, 76 clinicians

Practice addresses (Care Compare)

11548 Bellaire Blvd
Houston, TX 77072-2448
Phone (281) 973-0024

4009 Bellaire Blvd
Houston, TX 77025-1168

419 Cole St
Webster, TX 77598-5017

Hospital & facility affiliations

  • Theracare Home Health Home health agency, Stafford, TX, CCN 673162

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kelsey-Seybold Medical Group, PLLC Family Medicine CurrentSince Jan 12, 2015 Accepting new patients
Anti-Aging and Wellness MD PLLC Family Medicine CurrentSince Feb 9, 2024 Accepting new patients
Circle Medical Care Group PA Family Medicine CurrentSince Jul 26, 2025 Accepting new patients
Memorial Hermann Medical Group Family Medicine CurrentSince Mar 5, 2015 Accepting new patients

Locations

333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

5373 W Alabama St
Ste 204
Houston, TX 77056
Phone (281) 569-4289

11548 Bellaire Blvd
Houston, TX 77072
Phone (281) 973-0024

1200 McKinney St
Ste 473
Houston, TX 77010
Phone (713) 442-4700

2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

1400 N Coit Rd
Ste 302
McKinney, TX 75071
Phone (214) 504-3005

11511 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 442-4997

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

1010 S Ponds Dr
Webster, TX 77598
Phone (713) 442-4300

1010 S Ponds Dr
Bldg A
Webster, TX 77598

Interoperability endpoints

  • Direct secure messaging: bellaireprimarycare@org248.direct.charmhealth.com

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 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": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1295052504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 COLE ST",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775985017",
            "telephone_number": "281-973-0024",
            "fax_number": "281-973-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11548 BELLAIRE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770722448",
            "telephone_number": "281-973-0024",
            "fax_number": "281-973-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "JASON",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-26",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P3095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.