Individual provider Active NPI

Neelam Jay Mistry, MD

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1376906982
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
U9033 Issued in TX
Practice address
4423 Griggs Rd
Houston, TX 77021-2815
Phone
(713) 429-0655
Fax
(713) 429-0670
NPI assigned
Mar 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X U9033 TX Primary
Internal Medicine Physician 207R00000X DR.0062115 CO
Critical Care Medicine (Internal Medicine) Physician 207RC0200X DR.0062115 CO
General Practice Physician 208D00000X DR.0062115 CO

Addresses

Primary practice location

4423 Griggs Rd
Houston, TX 77021-2815

Mailing address

4423 Griggs Rd
Houston, TX 77021-2815
Phone (713) 429-0655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200131000751 CO Practitioner - HospitalistPractitioner - Internal Medicine 5890080956 Reassigns benefits to 1 organization
I20240523002989 TX Practitioner - Internal Medicine 5890080956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dedicated Physicians Group of Texas PLLCGroup PAC ID 4385054295, 3 clinicians

Practice addresses (Care Compare)

4423 Griggs Rd
Houston, TX 77021-2815
Phone (713) 429-0655

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0062115COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Jan 12, 2020 Accepting new patients
Dedicated Physicians Group of Texas, PLLC CurrentSince Jun 2, 2024 Accepting new patients
Denver Health and Hospital Authority General Practice CurrentSince Jan 12, 2020 Accepting new patients
Dedicated Physicians Group of Texas PLLC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients

Locations

777 Bannock St
Denver, CO 80204

4423 Griggs Rd
Houston, TX 77021
Phone (713) 429-0655

8471 Gulf Fwy
Houston, TX 77017
Phone (314) 390-5433

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1376906982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 GRIGGS RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770212815",
            "telephone_number": "713-429-0655",
            "fax_number": "713-429-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 GRIGGS RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770212815",
            "telephone_number": "713-429-0655",
            "fax_number": "713-429-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTRY",
        "first_name": "NEELAM",
        "middle_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U9033",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0062115",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CO",
            "license": "DR.0062115",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CO",
            "license": "DR.0062115",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.