NPIMap

Individual provider Active NPI

Jose Isaias Mayen Nunez, MD

  • Internal Medicine Physician
  • Webster, TX
National Provider Identifier
1407879489
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J4912 Issued in TX
Practice address
561 Medical Center Blvd Ste C
Webster, TX 77598-4240
Phone
(281) 332-1075
Fax
(281) 332-7012
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J4912 TX Primary

Addresses

Primary practice location

561 Medical Center Blvd Ste C
Webster, TX 77598-4240

Mailing address

PO Box 4897
Houston, TX 77210-4897
Phone (281) 332-1075

Other identifiers 3

IdentifierTypeStateIssuer
0005412547OtherAETNA
15BQOtherBCBS
127444105MedicaidTX

Other names 1

  • Dr. Jose I Mayen Jr. Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100519000221 TX Practitioner - Internal Medicine 9133258890 Reassigns benefits to 1 organization
Practice locations: Webster, TX

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

561 W Medical Ctr Blvd
Suite C
Webster, TX 77598-4240
Phone (281) 332-1075

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jose Mayen MD PA Internal Medicine CurrentSince Apr 1, 2019 Accepting new patients
Chca Clear Lake LP Past Accepting new patients
Chca Bayshore LP Past Accepting new patients
PMC Hospital, LLC Past Accepting new patients

Locations

4000 Spencer Hwy
Pasadena, TX 77504
Phone (713) 359-1000

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

561 W Medical Center Blvd
Ste C
Webster, TX 77598
Phone (281) 332-1075

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.

Hospital & facility affiliations 12

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1407879489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4897",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104897",
            "telephone_number": "281-332-1075",
            "fax_number": "281-332-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 MEDICAL CENTER BLVD STE C",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984240",
            "telephone_number": "281-332-1075",
            "fax_number": "281-332-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYEN NUNEZ",
        "first_name": "JOSE",
        "middle_name": "ISAIAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J4912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005412547",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "15BQ",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127444105",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "MAYEN",
            "middle_name": "I",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.