Individual provider Active NPI

Joseph Edward Prince, M.D.

  • Pulmonary Disease Physician
  • Texas City, TX
National Provider Identifier
1477518314
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
J9601 Issued in TX
Practice address
6409 Memorial Dr
Texas City, TX 77591-4057
Phone
(409) 935-2995
Fax
(409) 935-3433
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X J9601 TX
Pulmonary Disease Physician 207RP1001X J9601 TX Primary

Addresses

Primary practice location

6409 Memorial Dr
Texas City, TX 77591-4057

Mailing address

6409 Memorial Dr
Texas City, TX 77591-4057
Phone (409) 935-2995

Other identifiers 2

IdentifierTypeStateIssuer
101603205MedicaidTX
8R3391OtherTXBLUE CROSS ID

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
I20041130000115 TX Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 6204891450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
University of Missouri, Columbia School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mainland Pulmonary Associates PLLCGroup PAC ID 0244570927, 3 clinicians

Practice addresses (Care Compare)

6409 Memorial Dr
Texas City, TX 77591-4057
Phone (409) 935-2995

Hospital & facility affiliations

  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617
  • University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mainland Pulmonary Associates PLLC Critical Care Medicine CurrentSince Jan 1, 2019 Accepting new patients

Locations

1108 Gulf Fwy S
Ste 220
League City, TX 77573
Phone (281) 554-0111

6409 Memorial Dr
Texas City, TX 77591
Phone (409) 935-2995

6807 Emmett F Lowry Expy
Ste 303
Texas City, TX 77591
Phone (409) 933-1360

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJFECD

Organizations & group practices 1

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 8

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1477518314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6409 MEMORIAL DR",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775914057",
            "telephone_number": "409-935-2995",
            "fax_number": "409-935-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6409 MEMORIAL DR",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775914057",
            "telephone_number": "409-935-2995",
            "fax_number": "409-935-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "JOSEPH",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2021-08-20",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "J9601",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "J9601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101603205",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID",
            "identifier": "8R3391",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

Verify at the official NPI Registry.