Individual provider Active NPI

Jennifer L. Caffey, D.O.

  • Pediatrics Physician
  • Dickinson, TX
National Provider Identifier
1386675668
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L7998 Issued in TX
Practice address
3828 Hughes CT Ste 204
Dickinson, TX 77539-6249
Phone
(281) 534-1300
Fax
(281) 534-1306
NPI assigned
Jul 5, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L7998 TX Primary

Addresses

Primary practice location

3828 Hughes CT Ste 204
Dickinson, TX 77539-6249

Mailing address

3828 Hughes CT Ste 204
Dickinson, TX 77539-6249
Phone (281) 534-1300

Other identifiers 3

IdentifierTypeStateIssuer
0066MBOtherTXBC/BS
165109301MedicaidTX
10016911OtherTXAMERIGROUP

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
I20090917000121 TX Practitioner - Pediatric Medicine 0547316507 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice Pediatrics CurrentSince Sep 1, 2009 Accepting new patients
Cline Pediatrics Pediatrics Past Accepting new patients

Locations

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

301 University Blvd
Fl 6
Galveston, TX 77555

2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000

6465 S Shore Blvd
Ste 500
League City, TX 77573
Phone (281) 538-7735

Interoperability endpoints

  • Direct secure messaging: jcaffeymd7812@direct.utmb.edu

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

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1386675668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3828 HUGHES CT STE 204",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775396249",
            "telephone_number": "281-534-1300",
            "fax_number": "281-534-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 HUGHES CT STE 204",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775396249",
            "telephone_number": "281-534-1300",
            "fax_number": "281-534-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAFFEY",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L7998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0066MB",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165109301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10016911",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, TX

Sources for this page

Verify at the official NPI Registry.