NPIMap

Individual provider Active NPI

Jorge Betanco, MD

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1558417147
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N3497 Issued in TX
Practice address
1401 St. Joseph Parkway
Houston, TX 77002-8301
Phone
(713) 756-8537
Fax
(713) 756-8538
NPI assigned
Jan 26, 2007
Last updated
Apr 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TL-1979 CO
Internal Medicine Physician 207R00000X N3497 TX Primary

Addresses

Primary practice location

1401 St. Joseph Parkway
Houston, TX 77002-8301

Mailing address

4299 San Felipe
Suite 300
Houston, TX 77027-2916
Phone (832) 476-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090929000355 TX Practitioner - Internal Medicine 7113073495 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Progressive Health of America, PLLCGroup PAC ID 5698072320, 72 clinicians

Practice addresses (Care Compare)

16620 N US Hwy 281
Suite 300
San Antonio, TX 78232-2679

16620 San Pedro Ave
Suite 300
San Antonio, TX 78232-2679
Phone (210) 871-4701

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TL-1979COMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince May 1, 2019 Accepting new patients
Physicians Hearing Center Current Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Dec 29, 2014 Accepting new patients
Inpatient Progressive Health of America, PLLC CurrentSince Oct 1, 2021 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Jun 1, 2016 Accepting new patients
Regional Employee Assistance Program Inc Internal Medicine Current Accepting new patients
Panther Inpatient Care PLLC Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Dec 29, 2014 Accepting new patients
Inpatient Medical Services, P.a. Internal Medicine Past Accepting new patients
Hospitalists of South Texas, PA Past Accepting new patients
Ramsey Inpatient Physicians PLLC Internal Medicine Past Accepting new patients
VHS San Antonio Partners LLC Past Accepting new patients
Ihnonpar, Inc. Past Accepting new patients

Locations

999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

2620 Communications Pkwy
Plano, TX 75093
Phone (214) 501-4672

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

3501 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 947-6361

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

16620 San Pedro Ave
Ste 300
San Antonio, TX 78232
Phone (210) 614-1231

3636 Medical Dr
San Antonio, TX 78229
Phone (210) 313-6774

7330 San Pedro Ave
Ste 540
San Antonio, TX 78216
Phone (210) 344-2673

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 10

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1558417147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4299 SAN FELIPE",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770272916",
            "telephone_number": "832-476-3900",
            "fax_number": "832-476-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ST. JOSEPH PARKWAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028301",
            "telephone_number": "713-756-8537",
            "fax_number": "713-756-8538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCO",
        "first_name": "JORGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "TL-1979",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N3497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.