Active NPI
Jennifer Riley McLeland, M.D.
- Obstetrics & Gynecology Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- Q3552
- Practice address
- 12828 Willow Centre Dr Ste D
Houston, TX 77066-3043 - Phone
- (817) 733-5245
- NPI assigned
- Oct 22, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD210012293 | DC | |
| Obstetrics & Gynecology Physician | 207V00000X | 0101278931 | VA | |
| Obstetrics & Gynecology Physician | 207V00000X | D97975 | MD | |
| Obstetrics & Gynecology Physician | 207V00000X | 338644 | LA | |
| Obstetrics & Gynecology Physician | 207V00000X | Q3552 | TX | Primary |
Addresses
Primary practice location
12828 Willow Centre Dr Ste D
Houston, TX 77066-3043
Mailing address
12828 Willow Centre Dr Ste D
Houston, TX 77066-3043
Phone (646) 895-3946
Other practice location 1
1250 8th Ave Ste 440
Fort Worth, TX 76104-4144
Phone (817) 502-8484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 338644 | LA | MD | Obstetrics & Gynecology Physician |
| D97975 | MD | MD | Obstetrics & Gynecology Physician |
| 0101278931 | VA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812
9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800
950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065
8644 Sudley Rd
#220
Manassas, VA 20110
Interoperability endpoints
- jennifer.mcleland@581151983075332.direct.elationemr.com
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.
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
DC, Obstetrics & Gynecology
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1619220134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12828 WILLOW CENTRE DR STE D",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770663043",
"telephone_number": "646-895-3946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12828 WILLOW CENTRE DR STE D",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770663043",
"telephone_number": "817-733-5245"
}
],
"practiceLocations": [
{
"address_1": "1250 8th Ave Ste 440",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761044144",
"country_code": "US",
"telephone_number": "817-502-8484",
"fax_number": "817-921-2701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCLELAND",
"first_name": "JENNIFER",
"middle_name": "RILEY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-22",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "DC",
"license": "MD210012293",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0101278931",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MD",
"license": "D97975",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "LA",
"license": "338644",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "Q3552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.