Jason Kelly Demattia, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M2306 Issued in TX

Practice address

425 Holderrieth Blvd Ste 114
Tomball, TX 77375-5189

Phone

(281) 475-7599

Fax

(833) 973-3832

NPI assigned

May 23, 2006

Last updated

Sep 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Family PracticeAlso: General Practice

Education

New York Medical College, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spine and Rehab Associates PLLCGroup PAC ID 5294196689, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jason.demattia.1@31515.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Align Healthcare

  • Family Medicine Physician
  • The Woodlands, TX
  • NPI 1104797406
  Medicare reassignment NPD Authorized official
• Lemon-Aid Medical Management

  • Family Medicine Physician
  • Tomball, TX
  • NPI 1730921792
  Medicare reassignment NPD Authorized official
• Spine & Rehab Associates PLLC

  • Interventional Pain Medicine Physician
  • The Woodlands, TX
  • NPI 1225727944
  Medicare reassignment Care Compare group NPD
• Groundswell, LLC

  dba Counseling and Recovery Services

  • Methadone Clinic
  • Tomball, TX
  • NPI 1700918992
  NPD

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1528013125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HOLDERRIETH BLVD STE 114",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773755189",
            "telephone_number": "281-475-7599",
            "fax_number": "833-973-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HOLDERRIETH BLVD STE 114",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773755189",
            "telephone_number": "281-475-7599",
            "fax_number": "833-973-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMATTIA",
        "first_name": "JASON",
        "middle_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M2306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina De Jongh
• Gabrielle De Villa, SLPA
• Melanie Debakey
• Rachel Deloach
• Candice Martin Demattia, MD
• Erin Dennis
• Kortney Dennis, PHARMD
• Teresa Denson, APRN
• Dental Health Associates of Texas, PC (Wainwright Dental & Associates)
• Dental Health Associates of Texas, PC (America's Family Dental)

• Family Medicine Physician in Tomball, TX
• Providers in Tomball, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.