Individual provider Active NPI

Nicolin Jennifer Neal, M.D.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1407103799
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
Q5702 Issued in TX
Practice address
3899 Southwest Fwy
Houston, TX 77027-7515
Phone
(832) 323-9230
Fax
(713) 481-0839
NPI assigned
Aug 6, 2012
Last updated
Sep 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Q5702 TX Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X Q5702 TX

Addresses

Primary practice location

3899 Southwest Fwy
Houston, TX 77027-7515

Mailing address

3899 Southwest Fwy
Houston, TX 77027-7515
Phone (832) 323-9230

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
I20151015000647 TX Practitioner - Internal MedicinePractitioner - Geriatric Medicine 6002125986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
University of Texas Medical School at Houston, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rios Healthcare Associates PLLCGroup PAC ID 1254696172, 2 clinicians

Practice addresses (Care Compare)

7887 Cambridge St
Houston, TX 77054-2013
Phone (832) 323-9230

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rios Healthcare Associates, PLLC CurrentSince Aug 6, 2018 Accepting new patients

Locations

3899 Southwest Fwy
Houston, TX 77027
Phone (346) 800-1153

7887 Cambridge St
Houston, TX 77054
Phone (713) 796-2777

921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19483/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nicolin.neal.1@19483.direct.athenahealth.com

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.

Hospital & facility affiliations 3

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": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1407103799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3899 SOUTHWEST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277515",
            "telephone_number": "832-323-9230",
            "fax_number": "713-481-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3899 SOUTHWEST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277515",
            "telephone_number": "832-323-9230",
            "fax_number": "713-481-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "NICOLIN",
        "middle_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q5702",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "Q5702",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.