Jacob P Doering, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M4764 Issued in TX

Practice address

22710 Professional Drive
Suite 201
Kingwood, TX 77339

Phone

(281) 359-1190

Fax

(281) 359-1540

NPI assigned

Apr 4, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, IL2 enrollments

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 2

Specialty

Family Practice

Education

University of Texas Medical Branch at Galveston, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
• Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684
• HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775
• Houston Methodist Baytown Hospital Hospital, Baytown, TX, CCN 450424
• Tops Surgical Specialty Hospital Hospital, Houston, TX, CCN 450774

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jdoering207092@directhoustonmethodist.org
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• TMH Physician Associates PLLC

  • Ophthalmology Physician
  • Houston, TX
  • NPI 1275779225

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Methodist Medical Center of Illinois

  • Rehabilitation Hospital Unit
  • Peoria, IL
  • NPI 1982656575
  Medicare reassignment NPD
• TMH Physician Associates PLLC

  • Orthopaedic Surgery Physician
  • Spring, TX
  • NPI 1043061351
  NPD
• Methodist Medical Center of Illinois

  • General Acute Care Hospital
  • Peoria, IL
  • NPI 1164474755
  NPD
• Methodist Medical Center of Illinois

  dba Methodist Medical Group

  • Family Medicine Physician
  • Peoria, IL
  • NPI 1184670663
  NPD
• Greater Houston Physician's Medical

  dba Greater Houston Physician's MedicalAssoc., Pllc

  • Multi-Specialty Clinic/Center
  • Kingwood, TX
  • NPI 1811214414
  NPD (past)
• Millennium Physicians Association, PLLC

  dba Millennium Oncology

  • Multi-Specialty Clinic/Center
  • The Woodlands, TX
  • NPI 1255397733
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• KPH-Consolidation, Inc.

  dba HCA Houston Healthcare North Cypress a Campus of HCA Houston Healthcar

  • General Acute Care Hospital
  • Kingwood, TX
  • NPI 1811942238
  Care Compare affiliation
• Memorial Hermann Health System

  dba Memorial Hermann Northeast

  • General Acute Care Hospital
  • Humble, TX
  • NPI 1295843787
  Care Compare affiliation
• Methodist Health Centers

  dba Houston Methodist The Woodlands Hospital

  • General Acute Care Hospital
  • The Woodlands, TX
  • NPI 1184179194
  Care Compare affiliation
• San Jacinto Methodist Hospital

  dba Houston Methodist Baytown Hospital

  • General Acute Care Hospital
  • Baytown, TX
  • NPI 1891789772
  Care Compare affiliation
• Tops Specialty Hospital, LTD.

  dba TOPS Surgical Specialty Hospital

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1144203662
  Care Compare affiliation

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1598887333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19701 KINGWOOD DR STE B",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393773",
            "telephone_number": "936-270-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22710 PROFESSIONAL DRIVE",
            "address_2": "SUITE 201",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "281-359-1190",
            "fax_number": "281-359-1540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22710 Professional Drive",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "77339",
            "country_code": "US",
            "telephone_number": "281-359-1190",
            "fax_number": "281-359-1540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1909 N Morton Ave",
            "address_purpose": "LOCATION",
            "city": "Morton",
            "state": "IL",
            "postal_code": "615501426",
            "country_code": "US",
            "telephone_number": "309-263-9124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1909 N Morton Ave",
            "address_purpose": "LOCATION",
            "city": "Morton",
            "state": "IL",
            "postal_code": "615501426",
            "country_code": "US",
            "telephone_number": "309-263-9124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOERING",
        "first_name": "JACOB",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M4764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "036119497",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danny Doan, PTA
• Thao Mai Doan
• Moira Kathleen Dodge, BCBA
• Amanda Dodson-Mooring, DO
• Madison Rae Dodson
• Dawn Marie Donnelly, MS, LPC
• Kelly Dorsett, M.D.
• Diamond Marie Dorsey
• Ronald Mack Doss Jr., D.C.
• Michael T Doyle, DDS

• Family Medicine Physician in Kingwood, TX
• Providers in Kingwood, 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 Jul 17, 2018; 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.