Myrtle Karam Jeroudi, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

R1784 Issued in TX

Practice address

12301 Main St
Houston, TX 77035-6207

Phone

(713) 275-5324

Fax

(713) 275-5120

NPI assigned

Apr 24, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Myrtle Marie Karam Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Myrtle K Jeroudi, MD, PA

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Houston, TX
  • NPI 1093669244
  NPD Authorized official

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1588922975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770356207",
            "telephone_number": "713-275-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770356207",
            "telephone_number": "713-275-5324",
            "fax_number": "713-275-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEROUDI",
        "first_name": "MYRTLE",
        "middle_name": "KARAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "TX",
            "license": "R1784",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "R1784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYRTLE",
            "last_name": "KARAM",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Veronica Jernigan
• Jernigan'S Adult Day Care
• Jernigan'S Medical Services
• Jerome R Elk, MD
• Brinelle Jerome
• Catherine Ung Jerrells, OTR/L
• Jerri P Sethna MD PA
• Jerry L Wender DDS PA
• Jerry L Westover DDS PLLC
• Jerry L Westover DDS PLLC

• Neurology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.