Individual provider Active NPI

Jonathan Klarich, MD

  • Family Medicine Physician
  • Victoria, TX
National Provider Identifier
1609443696
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
V4421 Issued in TX
Practice address
501 E Colorado St
Victoria, TX 77901-6025
Phone
(361) 579-8300
Fax
(361) 579-8303
NPI assigned
Jun 8, 2021
Last updated
Nov 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125.077904 IL
Family Medicine Physician 207Q00000X V4421 TX Primary

Addresses

Primary practice location

501 E Colorado St
Victoria, TX 77901-6025

Mailing address

1 Memorial Dr RM G360
Alton, IL 62002-6722

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jonathan.klarich.1@1902.direct.athenahealth.com

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241126003563 TX Practitioner - Family Practice 8022418771 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

501 E Colorado St
Detar Family Medicine Center
Victoria, TX 77901-6025
Phone (361) 579-8300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V4421TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc Family Medicine CurrentSince Oct 29, 2024 Accepting new patients
Regional Employee Assistance Program Inc Family Medicine CurrentSince Oct 29, 2024 Accepting new patients
Lone Star Emergency Associates LLC CurrentSince Jul 11, 2025 Accepting new patients
Regional Employee Assistance Program Inc Family Medicine Current Accepting new patients
Victoria of Texas LP Past Accepting new patients

Locations

1602 E Houston St
Ste C
Beeville, TX 78102
Phone (361) 354-2900

2804 Lake Rd
Ste 5
Huntsville, TX 77340
Phone (979) 696-2422

101 Medical Dr
Victoria, TX 77904
Phone (361) 573-6100

1301 Mallette Dr
Victoria, TX 77904
Phone (361) 576-9263

3103 E Airline Rd
Victoria, TX 77901
Phone (361) 545-6457

3301 E Mockingbird Ln
Victoria, TX 77904
Phone (361) 573-3201

3401 E Airline Rd
Victoria, TX 77901
Phone (361) 573-2467

501 E Colorado St
Victoria, TX 77901
Phone (361) 571-5283

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

510 E Rio Grande St
Victoria, TX 77901
Phone (361) 570-1082

9006 N Navarro St
Ste B
Victoria, TX 77904
Phone (361) 485-0021

1200 Carl Ramert Dr
Yoakum, TX 77995
Phone (361) 293-2321

Interoperability endpoints

  • Direct secure messaging: jonathan.klarich.1@1902.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1609443696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEMORIAL DR RM G360",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E COLORADO ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016025",
            "telephone_number": "361-579-8300",
            "fax_number": "361-579-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLARICH",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-08",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125.077904",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V4421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jonathan.klarich.1@1902.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "501 E Colorado St",
            "city": "Victoria",
            "state": "TX",
            "country_code": "US",
            "postal_code": "779016025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.