Individual provider Active NPI

Jennifer Michelle Kresta, M.D.

  • Surgery Physician
  • Sugar Land, TX
National Provider Identifier
1407176274
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
Q6860 Issued in TX
Practice address
16605 Southwest Fwy Ste 450
Sugar Land, TX 77479-3505
Phone
(281) 275-0860
NPI assigned
Jun 3, 2010
Last updated
Mar 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X BP2-0041560 TX
Surgery Physician 208600000X Q6860 TX Primary
Surgery Physician 208600000X BP10037827 TX

Addresses

Primary practice location

16605 Southwest Fwy Ste 450
Sugar Land, TX 77479-3505

Mailing address

16811 Southwest Fwy Ste 450
Sugar Land, TX 77479-4728
Phone (281) 275-0860

Other identifiers 2

IdentifierTypeStateIssuer
Q6860OtherTXTX STATE LICENSE
BP2-0041560OtherTXPHYSICIAN IN TRAINING LICENSE

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
I20160719002218 TX Practitioner - General Surgery 7810280401 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians

Practice addresses (Care Compare)

16605 SW Fwy 450
Tmhpo Surg Dept
Sugar Land, TX 77479-3505
Phone (281) 275-0860

16811 Southwest Fwy
Suite 200
Sugar Land, TX 77479-4728
Phone (281) 690-4678

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue64
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10037827TXMDSurgery Physician
BP2-0041560TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Sep 5, 2023 Accepting new patients
TMH Physician Associates PLLC CurrentSince Sep 5, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 3, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 3, 2022 Accepting new patients
Houston Methodist Specialty Physicians Surgery CurrentSince Jan 1, 2026 Accepting new patients
Houston Methodist Past Accepting new patients

Locations

755 N 11th St
Ste P3950
Beaumont, TX 77702
Phone (409) 892-0099

2950 Cullen Blvd
Ste 101
Pearland, TX 77584
Phone (281) 977-7444

2246 Nall St
Port Neches, TX 77651
Phone (409) 344-4010

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

16605 Southwest Fwy
Ste 450
Sugar Land, TX 77479
Phone (281) 275-0830

16811 Southwest Fwy
Ste 200
Sugar Land, TX 77479
Phone (281) 690-4678

16811 Southwest Fwy
Ste 450
Sugar Land, TX 77479

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: jkresta269073@christushealth.direct-ci.net
  • Direct secure messaging: jkresta449431@directhoustonmethodist.org

Organizations & group practices 6

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 1

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": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1407176274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16811 SOUTHWEST FWY STE 450",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794728",
            "telephone_number": "281-275-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16605 SOUTHWEST FWY STE 450",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793505",
            "telephone_number": "281-275-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRESTA",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2024-03-01",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "BP2-0041560",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "Q6860",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "BP10037827",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX STATE LICENSE",
            "identifier": "Q6860",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN IN TRAINING LICENSE",
            "identifier": "BP2-0041560",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.