Individual provider Active NPI

Qing Jia, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Garland, TX
National Provider Identifier
1609805506
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
L8746 Issued in TX
Practice address
601 Clara Barton Blvd
Suite 300
Garland, TX 75042-5738
Phone
(972) 494-6235
Fax
(972) 272-2073
NPI assigned
Jul 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L8746 TX
Endocrinology, Diabetes & Metabolism Physician 207RE0101X L8746 TX Primary

Addresses

Primary practice location

601 Clara Barton Blvd
Suite 300
Garland, TX 75042-5738

Mailing address

601 Clara Barton Blvd
Suite 300
Garland, TX 75042-5738
Phone (972) 494-6235

Other identifiers 2

IdentifierTypeStateIssuer
1660896-01MedicaidTX
166089603MedicaidTX

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
I20040622000595 TX Practitioner - Endocrinology 6305821588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Endocrinology AssociatesGroup PAC ID 9638271711, 7 clinicians

Practice addresses (Care Compare)

1621 N Belt Line Rd a
Mesquite, TX 75149-1795

Hospital & facility affiliations

  • Medical City Plano Hospital, Plano, TX, CCN 450651
  • Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Sep 1, 2004 Accepting new patients
Healthtexas Provider Network--Dallas Diagnostic Association Internal Medicine CurrentSince Jun 17, 2013 Accepting new patients
Healthtexas-Dallas Diagnostic Association Internal Medicine CurrentSince Jun 17, 2013 Accepting new patients
Southern Endocrinology Associates Endocrinology, Diabetes & Metabolism CurrentSince Sep 2, 2024 Accepting new patients
Healthtexas Provider Network Internal Medicine CurrentSince Sep 1, 2004 Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

601 Clara Barton Blvd
Ste 300
Garland, TX 75042
Phone (972) 494-6235

1621 N Belt Line Rd
Ste A
Mesquite, TX 75149
Phone (214) 909-8903

4700 Alliance Blvd
Ste 400
Plano, TX 75093
Phone (469) 814-6631

4708 Alliance Blvd
Ste 300
Plano, TX 75093
Phone (972) 758-6000

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381449600000",
    "number": "1609805506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CLARA BARTON BLVD",
            "address_2": "SUITE 300",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425738",
            "telephone_number": "972-494-6235",
            "fax_number": "972-272-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CLARA BARTON BLVD",
            "address_2": "SUITE 300",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425738",
            "telephone_number": "972-494-6235",
            "fax_number": "972-272-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIA",
        "first_name": "QING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2013-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L8746",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "L8746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1660896-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166089603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.