Individual provider Active NPI

Jacob Hord, DPM

  • Podiatrist
  • Kingwood, TX
National Provider Identifier
1538344809
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2136 Issued in TX
Practice address
350 Kingwood Medical Dr
Suite 150
Kingwood, TX 77339-6405
Phone
(281) 348-2166
Fax
(281) 358-2153
NPI assigned
Jan 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2136 TX Primary

Addresses

Primary practice location

350 Kingwood Medical Dr
Suite 150
Kingwood, TX 77339-6405

Mailing address

350 Kingwood Medical Dr
Suite 150
Kingwood, TX 77339-6405
Phone (281) 348-2166

Other identifiers 1

IdentifierTypeStateIssuer
1639368970OtherTXGROUP NPI

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150701000937 TX Practitioner - Podiatry 2961573431 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthdrive Podiatry Group PAGroup PAC ID 1759334782, 24 clinicians

Practice addresses (Care Compare)

2413 E Loop 820
Fort Worth, TX 76118-6933
Phone (888) 964-6681

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue2379
Removal or shaving of skin growth1449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2136TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jason C Miller DPM PA Podiatrist CurrentSince Jun 1, 2015 Accepting new patients
Jason Miller DPM PA Past Accepting new patients
Advanced Foot Centre, PA Podiatrist Past Accepting new patients
Healthdrive Podiatry Group, PA Podiatrist Past Accepting new patients

Locations

350 Kingwood Medical Dr
Ste 150
Kingwood, TX 77339
Phone (281) 348-2166

25511 Budde Rd
Ste 3701
The Woodlands, TX 77380
Phone (281) 348-2166

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1538344809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 KINGWOOD MEDICAL DR",
            "address_2": "SUITE 150",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396405",
            "telephone_number": "281-348-2166",
            "fax_number": "281-358-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 KINGWOOD MEDICAL DR",
            "address_2": "SUITE 150",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396405",
            "telephone_number": "281-348-2166",
            "fax_number": "281-358-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORD",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-07",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "2136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1639368970",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.