NPIMap

Individual provider Active NPI

John D Edwards, MD

  • Otolaryngology Physician
  • Kingwood, TX
National Provider Identifier
1336158294
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
M1082 Issued in TX
Practice address
22999 Highway 59 N Ste 400
Kingwood, TX 77339-4441
Phone
(281) 358-2314
Fax
(281) 358-2357
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X M1082 TX Primary

Addresses

Primary practice location

22999 Highway 59 N Ste 400
Kingwood, TX 77339-4441

Mailing address

22999 Highway 59 N Ste 400
Kingwood, TX 77339-4441
Phone (281) 358-2314

Other identifiers 1

IdentifierTypeStateIssuer
175003501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050909000407 TX Practitioner - Otolaryngology 8426080516 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Texas Southwestern Medical School at Dallas, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Ear Nose and Throat Clinic LLPGroup PAC ID 3678569860, 31 clinicians
ENT and Allergy Associates of Texas PLLCGroup PAC ID 3870079429, 31 clinicians

Practice addresses (Care Compare)

22999 Hwy 59 N
Suite 400
Kingwood, TX 77339-4441
Phone (281) 358-2314

22999 US Hwy 59 N
Building B Suite 400
Humble, TX 77339-4441
Phone (281) 358-2314

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.5 of 100Reported as group
Quality
64.9
Promoting interoperability
73
Improvement activities
40
Cost
75.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M1082TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Ear Nose & Throat Clinic LLP Otolaryngology CurrentSince May 5, 2020 Accepting new patients
ENT and Allergy Associates of Texas PLLC Otolaryngology CurrentSince Jan 1, 2026 Accepting new patients

Locations

18300 Katy Fwy
Ste 605
Houston, TX 77094
Phone (281) 578-1910

7789 Southwest Fwy
Ste 470
Houston, TX 77074
Phone (281) 649-7000

22999 Highway 59 N
Ste 400
Kingwood, TX 77339
Phone (281) 358-2314

14140 Southwest Fwy
Ste 200
Sugar Land, TX 77478
Phone (281) 649-7000

Interoperability endpoints

  • Direct secure messaging: john.edwardsmd.p1@direct.hent.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1336158294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22999 HIGHWAY 59 N STE 400",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394441",
            "telephone_number": "281-358-2314",
            "fax_number": "281-358-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22999 HIGHWAY 59 N STE 400",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394441",
            "telephone_number": "281-358-2314",
            "fax_number": "281-358-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "M1082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175003501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.