Individual provider Active NPI

Jaime Cazares, MD

  • Family Medicine Physician
  • Katy, TX
National Provider Identifier
1629017173
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L3604 Issued in TX
Practice address
5503 Fry Rd
Katy, TX 77449-5845
Phone
(713) 982-7080
Fax
(281) 463-4218
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L3604 TX Primary

Addresses

Primary practice location

5503 Fry Rd
Katy, TX 77449-5845

Mailing address

5503 Fry Rd
Katy, TX 77449-5845
Phone (713) 982-7080

Other identifiers 1

IdentifierTypeStateIssuer
157822102MedicaidTX

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
I20100816000911 TX Practitioner - Family Practice 1153455969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

5503 N Fry Rd
Harris Health and Contract Pediatric Clinic
Katy, TX 77449-5845
Phone (713) 486-7650

6410 Fannin St
Houston, TX 77030-3005

Hospital & facility affiliations

  • Harris Health Hospital, Houston, TX, CCN 450289

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L3604TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Family Medicine CurrentSince Jun 17, 2013 Accepting new patients
Memorial Hermann Health System Family Medicine Current Accepting new patients
Ut Physicians CurrentSince Jun 17, 2013 Accepting new patients
Memorial Hermann Health System Past Accepting new patients

Locations

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

7737 Southwest Fwy
Ste 400
Houston, TX 77074
Phone (281) 674-1700

5503 Fry Rd
Katy, TX 77449
Phone (713) 449-5845

14023 Southwest Fwy
Sugar Land, TX 77478
Phone (281) 325-4100

1111 Highway 6
Ste 260
Sugar Land, TX 77478
Phone (281) 276-2000

14023 Southwest Fwy
Ste A
Sugar Land, TX 77478
Phone (281) 325-4100

14023 Southwest Fwy
Ste B
Sugar Land, TX 77478
Phone (281) 325-4100

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 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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1629017173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5503 FRY RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774495845",
            "telephone_number": "713-982-7080",
            "fax_number": "281-463-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 FRY RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774495845",
            "telephone_number": "713-982-7080",
            "fax_number": "281-463-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAZARES",
        "first_name": "JAIME",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L3604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157822102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.