Active NPI
Jason Richard Bailey, M.D.
- Plastic Surgery Physician
- Houston, TX
National Provider Identifier
1407059280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- M6030
- Practice address
- 12121 Richmond Ave Ste 101
Houston, TX 77082-2420 - Phone
- (281) 741-5910
- Fax
- (713) 583-1113
- NPI assigned
- Jun 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | M6030 | TX | |
| Plastic Surgery Physician | 208200000X | M6030 | TX | Primary |
| Emergency Medicine Physician | 207P00000X | M6030 | TX | |
| Surgery Physician | 208600000X | M6080 | TX |
Addresses
Primary practice location
12121 Richmond Ave Ste 101
Houston, TX 77082-2420
Mailing address
PO Box 980790
Houston, TX 77098-9998
Phone (281) 741-5910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 2, 2018 through Apr 2, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M6080 | TX | MD | Neonatal-Perinatal Medicine Physician |
| M6030 | TX | MD | Plastic Surgery Physician |
Interoperability endpoints
- jbailey32706@directhoustonmethodist.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1407059280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 980790",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770989998",
"telephone_number": "281-741-5910",
"fax_number": "713-583-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12121 RICHMOND AVE STE 101",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770822420",
"telephone_number": "281-741-5910",
"fax_number": "713-583-1113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "JASON",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-07",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "TX",
"license": "M6030",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "TX",
"license": "M6030",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "M6030",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "M6080",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.