Individual provider Active NPI

John T Patlan Jr., M.D.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1629162656
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K5051 Issued in TX
Practice address
915 Gessner
Suite 100
Houston, TX 77024
Phone
(713) 242-2222
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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 K5051 TX Primary
Medical Oncology Physician 207RX0202X K5051 TX

Addresses

Primary practice location

915 Gessner
Suite 100
Houston, TX 77024

Mailing address

909 Frostwood Dr
Suite 1.100
Houston, TX 77024-2301
Phone (713) 338-4523

Other identifiers 1

IdentifierTypeStateIssuer
043978803MedicaidTX

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
I20040322000398 TX Practitioner - Internal MedicinePractitioner - Pediatric Medicine 5597656553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at San Antonio, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

8215 Cypresswood Dr
Spring, TX 77379-7466
Phone (832) 717-0877

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K5051TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Medical Group Internal Medicine CurrentSince Oct 3, 2016 Accepting new patients

Locations

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1629162656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 FROSTWOOD DR",
            "address_2": "SUITE 1.100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242301",
            "telephone_number": "713-338-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 GESSNER",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77024",
            "telephone_number": "713-242-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATLAN",
        "first_name": "JOHN",
        "middle_name": "T",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K5051",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "TX",
            "license": "K5051",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043978803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.