Individual provider Active NPI

Jeffrey Hal Charnov, M.D.

  • Interventional Pain Medicine Physician
  • Houston, TX
National Provider Identifier
1629060405
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
H6111 Issued in TX
Practice address
915 Gessner Rd.
Suite 970
Houston, TX 77024-2663
Phone
(713) 932-0770
Fax
(713) 932-8595
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X H6111 TX
Interventional Pain Medicine Physician 208VP0014X H6111 TX Primary

Addresses

Primary practice location

915 Gessner Rd.
Suite 970
Houston, TX 77024-2663

Mailing address

915 Gessner Rd.
Suite 970
Houston, TX 77024
Phone (713) 932-0770

Other identifiers 6

IdentifierTypeStateIssuer
123129201OtherTXTPI
123129201MedicaidTX
1871715649OtherTXNPI
085283201OtherTXTPI
085283201MedicaidTX
1629060405OtherTXNPI

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
I20040617001442 TX Practitioner - Pain Management 7113901828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
University of California, Irvine, California College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

915 Gessner Rd
Suite 970
Houston, TX 77024-2663
Phone (713) 932-0770

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H6111TXMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain and Health Management Center, P.a. Interventional Pain Medicine Current Accepting new patients
Pain and Health Management Center PA Interventional Pain Medicine CurrentSince Jan 2, 2006 Accepting new patients

Locations

915 Gessner Rd
Ste 970
Houston, TX 77024
Phone (713) 790-1400

Interoperability endpoints

  • Direct secure messaging: jcharnov26052@direct.houstonmethodist.org

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1629060405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 GESSNER RD.",
            "address_2": "SUITE 970",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77024",
            "telephone_number": "713-932-0770",
            "fax_number": "713-932-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 GESSNER RD.",
            "address_2": "SUITE 970",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242663",
            "telephone_number": "713-932-0770",
            "fax_number": "713-932-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARNOV",
        "first_name": "JEFFREY",
        "middle_name": "HAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "H6111",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "H6111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI",
            "identifier": "123129201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123129201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1871715649",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI",
            "identifier": "085283201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085283201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1629060405",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.