Individual provider Active NPI

John E Wolf, MD

  • Dermatology Physician
  • Houston, TX
National Provider Identifier
1437239787
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D2635 Issued in TX
Practice address
1977 Butler Blvd Ste E6200
Houston, TX 77030-4101
Phone
(713) 798-6131
Fax
(713) 798-3252
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D2635 TX Primary

Addresses

Primary practice location

1977 Butler Blvd Ste E6200
Houston, TX 77030-4101

Mailing address

1977 Butler Blvd Ste E6200
Houston, TX 77030-4101
Phone (713) 798-6131

Other practice location 1

6620 Main St
Houston, TX 77030-2348
Phone (713) 798-6131

Other identifiers 1

IdentifierTypeStateIssuer
123842002MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jwolf9653@bcm.ghhdirect.net

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
I20101210000387 TX Practitioner - Dermatology 4880881242 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical Branch at Galveston, 1961
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

Practice addresses (Care Compare)

1977 Butler Blvd
Houston, TX 77030-4101

1977 Butler Boulevard
Houston, TX 77030-4101

1977 Butler Boulevard 6TH Floor
200 BCM Physicians
Houston, TX 77030-4101
Phone (713) 798-6131

7200 Cambridge St
Houston, TX 77030-4202

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions66
Skin biopsy13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D2635TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Mar 7, 1990 Accepting new patients
Baylor College of Medicine CurrentSince Mar 7, 1990 Accepting new patients
Baylor College of Medicine Dermatology CurrentSince Jan 1, 2014 Accepting new patients
Baylor College of Medicine CurrentSince Jan 1, 2014 Accepting new patients
Baylor College of Medicine Past Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

1977 Butler Blvd
Ste E6200
Houston, TX 77030
Phone (713) 798-6131

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

6620 Main St
Ste 1425
Houston, TX 77030
Phone (713) 798-6131

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

6620 Main St
Houston, TX 77030
Phone (713) 520-8432

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1437239787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1977 BUTLER BLVD STE E6200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304101",
            "telephone_number": "713-798-6131",
            "fax_number": "713-798-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1977 BUTLER BLVD STE E6200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304101",
            "telephone_number": "713-798-6131",
            "fax_number": "713-798-3252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6620 Main St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302348",
            "country_code": "US",
            "telephone_number": "713-798-6131",
            "fax_number": "713-798-5679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLF",
        "first_name": "JOHN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "D2635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123842002",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwolf9653@bcm.ghhdirect.net",
            "affiliation": "N",
            "address_1": "1977 Butler Blvd Ste E6200",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770304101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.