Individual provider Active NPI

Annie Kristin Janise, MD

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1609373331
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
S9715 Issued in TX
Practice address
7333 North Fwy Ste 111
Houston, TX 77076-1347
Phone
(832) 482-1200
Fax
(832) 957-6204
NPI assigned
Apr 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X S9715 TX Primary

Addresses

Primary practice location

7333 North Fwy Ste 111
Houston, TX 77076-1347

Mailing address

7333 North Fwy Ste 111
Houston, TX 77076-1347
Phone (832) 482-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210408002574 TX Practitioner - Internal Medicine 5799193801 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Physicians Group of Texas PLLC Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients
Dedicated Physicians Group of Texas, PLLC PastSince Feb 7, 2021 Accepting new patients

Locations

8471 Gulf Fwy
Houston, TX 77017
Phone (314) 390-5433

4423 Griggs Rd
Houston, TX 77021
Phone (713) 429-0655

8121 Broadway St
Ste 150
Houston, TX 77061
Phone (832) 709-2770

Organizations & group practices 2

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": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1609373331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7333 NORTH FWY STE 111",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770761347",
            "telephone_number": "832-482-1200",
            "fax_number": "832-957-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7333 NORTH FWY STE 111",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770761347",
            "telephone_number": "832-482-1200",
            "fax_number": "832-957-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANISE",
        "first_name": "ANNIE",
        "middle_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S9715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.