Mayssara Jubori, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

T1974 Issued in TX

Practice address

3721 S Stonebridge Dr Unit 703
McKinney, TX 75070-0234

Phone

(313) 550-4997

NPI assigned

Jun 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mayssara Al-Jubori Former name

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

Specialty

Internal Medicine

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Revive Med Partners, LLCGroup PAC ID 7618419920, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mayssara.jubori@uhnllh.eclinicaldirectplus.com

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.

• MJMD Primary Care and Aesthetic Medicine Corp

  • Internal Medicine Physician
  • McKinney, TX
  • NPI 1245923325
  Medicare reassignment NPD Authorized official
• Revive Med Partners, LLC

  dba Revive Primary Care & Med Spa

  • Internal Medicine Physician
  • Highland Village, TX
  • NPI 1669237798
  Medicare reassignment Care Compare group NPD
• Odette Louise Campbell MD PA

  dba North Texas Medical Specialists

  • Family Medicine Physician
  • Plano, TX
  • NPI 1366750325

  Internal Medicine

  Medicare reassignment NPD
• Revive Med Partners I LLC

  • Family Medicine Physician
  • Highland Village, TX
  • NPI 1881400323
  Medicare reassignment NPD
• CTD Network LLC

  • Multi-Specialty Clinic/Center
  • Plant City, FL
  • NPI 1851039762

  TX

  Medicare reassignment NPD
• Optumcare Florida Ci, LLC

  • Primary Care Clinic/Center
  • Winter Park, FL
  • NPI 1720506603
  NPD (past)

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1518317148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 S STONEBRIDGE DR UNIT 703",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750700234",
            "telephone_number": "313-550-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 S STONEBRIDGE DR UNIT 703",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750700234",
            "telephone_number": "313-550-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUBORI",
        "first_name": "MAYSSARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME145237",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T1974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245923325",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYSSARA",
            "last_name": "AL-JUBORI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Shelby Renee' Julian

• Internal Medicine Physician in McKinney, TX
• Providers in McKinney, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.