Individual provider Active NPI

Teddy Charles James, MD

  • General Practice Physician
  • Houston, TX
National Provider Identifier
1487747705
Registry record updated May 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
F2732 Issued in TX
Practice address
12739 Woodforest Blvd
Ste B
Houston, TX 77015-2737
Phone
(713) 451-5000
Fax
(713) 451-2431
NPI assigned
Sep 30, 2006
Last updated
May 23, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X F2732 TX Primary

Addresses

Primary practice location

12739 Woodforest Blvd
Ste B
Houston, TX 77015-2737

Mailing address

12739 Woodforest Blvd
Ste B
Houston, TX 77015-2737
Phone (713) 451-5000

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
I20110408000180 TX Practitioner - General Practice 9638137375 Practice locations: Houston, TX

National Provider Directory

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Harbor Hospice of Baytown, LPBaytown, TX, CCN 671645 Hospice Limited Partnership Interest Oct 21, 2008

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306108800000",
    "number": "1487747705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12739 WOODFOREST BLVD",
            "address_2": "STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770152737",
            "telephone_number": "713-451-5000",
            "fax_number": "713-451-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12739 WOODFOREST BLVD",
            "address_2": "STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770152737",
            "telephone_number": "713-451-5000",
            "fax_number": "713-451-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "TEDDY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2011-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "F2732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.