Individual provider Active NPI

John Benjamin Clemmons, M.D.

  • Gastroenterology Physician
  • Houston, TX
National Provider Identifier
1518997477
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G0677 Issued in TX
Practice address
1213 Hermann Dr Ste 220
Houston, TX 77004-7009
Phone
(713) 528-6562
Fax
(713) 528-1045
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G0677 TX Primary

Addresses

Primary practice location

1213 Hermann Dr Ste 220
Houston, TX 77004-7009

Mailing address

1213 Hermann Dr Ste 220
Houston, TX 77004-7009
Phone (713) 528-6562

Other identifiers 1

IdentifierTypeStateIssuer
035370801MedicaidTX

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
I20110822000220 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 2264602747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Howard University College of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1213 Hermann Dr
Suite 220
Houston, TX 77004-7009
Phone (713) 528-6562

Hospital & facility affiliations

  • HCA Houston Healthcare Medical Center Hospital, Houston, TX, CCN 450659

Merit-based Incentive Payment System (MIPS)

Final score
83.19 of 100Reported as individual
Quality
69.1
Promoting interoperability
93
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy148
Upper gastrointestinal (GI) endoscopy for acid reflux137

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John B. Clemmons, Jr., M.D., P.a. Gastroenterology CurrentSince Aug 19, 2011 Accepting new patients

Locations

1213 Hermann Dr
Ste 220
Houston, TX 77004
Phone (713) 526-4787

1213 Hermann Dr
Ste 420
Houston, TX 77004
Phone (713) 528-6562

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23633/brand/1/csg/1/fhir/r4
  • Direct secure messaging: john.clemmons.1@23633.direct.athenahealth.com

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 1

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1518997477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR STE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047009",
            "telephone_number": "713-528-6562",
            "fax_number": "713-528-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR STE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047009",
            "telephone_number": "713-528-6562",
            "fax_number": "713-528-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMMONS",
        "first_name": "JOHN",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "G0677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035370801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.