Individual provider Active NPI

John J Hopper, MD

  • Psychiatry Physician
  • Rockport, TX
National Provider Identifier
1639155245
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D4158 Issued in TX
Practice address
2726 Highway 35 N
Rockport, TX 78382-5709
Phone
(361) 729-5357
Fax
(361) 727-2036
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D4158 TX Primary

Addresses

Primary practice location

2726 Highway 35 N
Rockport, TX 78382-5709

Mailing address

2726 Highway 35 N
Rockport, TX 78382-5709
Phone (361) 729-5357

Other identifiers 3

IdentifierTypeStateIssuer
128324402MedicaidTX
00H80LOtherTXBCBS OF TX #
84-0851219OtherTAX ID #

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
I20111025000152 TX Practitioner - Psychiatry 1951574649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Medical Branch at Galveston, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
John J Hopper MD PLLCGroup PAC ID 7315243185, 2 clinicians

Practice addresses (Care Compare)

2726 Hwy 35 N
Rockport, TX 78382-5709
Phone (361) 729-5357

Hospital & facility affiliations

  • Refugio County Memorial Hospital Hospital, Refugio, TX, CCN 451317

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D4158TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Psychology PLLC Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Nichole Q Soto OD PC PastSince Feb 9, 2010 Accepting new patients
Cindi L Maddalone Ma LPC Past Accepting new patients
Paul M Hamilton PHD PC Past Accepting new patients

Organizations & group practices 6

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": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1639155245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2726 HIGHWAY 35 N",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783825709",
            "telephone_number": "361-729-5357",
            "fax_number": "361-727-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2726 HIGHWAY 35 N",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783825709",
            "telephone_number": "361-729-5357",
            "fax_number": "361-727-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPPER",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "D4158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128324402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX #",
            "identifier": "00H80L",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "84-0851219",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, TX

Sources for this page

Verify at the official NPI Registry.