NPIMap

Individual provider Active NPI

Nadeem Jamil

  • Geriatric Medicine (Internal Medicine) Physician
  • The Woodlands, TX
National Provider Identifier
1649234576
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
L2349 Issued in TX
Practice address
4185 Technology Forest Blvd Ste 150
The Woodlands, TX 77381-2005
Phone
(936) 273-2016
Fax
(936) 273-2018
NPI assigned
Apr 17, 2006
Last updated
Aug 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X L2349 TX Primary

Addresses

Primary practice location

4185 Technology Forest Blvd Ste 150
The Woodlands, TX 77381-2005

Mailing address

PO Box 132795
The Woodlands, TX 77393-2795
Phone (936) 273-2016

Other identifiers 1

IdentifierTypeStateIssuer
155897501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060223000501 TX Practitioner - HospitalistPractitioner - Internal Medicine 5092755314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

4185 Technology Forest Blvd
Suite 150
The Woodlands, TX 77381-2005
Phone (936) 273-2016

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

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Auracare Hospice LLC Current Accepting new patients
Woodlands Internists ,P.a Geriatric Medicine CurrentSince Sep 1, 2002 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Bellville Hospital District Past Accepting new patients
Memorial Hospital of Polk County PastSince Jan 1, 2002 Accepting new patients

Locations

150 Pine Forest Dr
Ste 703
The Woodlands, TX 77384
Phone (281) 939-5915

4185 Technology Forest Blvd
Ste 150
The Woodlands, TX 77381
Phone (281) 363-4546

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHGEAA
  • Direct secure messaging: nadeem.jamil.1@20632.direct.athenahealth.com
  • Direct secure messaging: nadeem.jamil@547882204790788.direct.elationemr.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Southern Legacy Hospice LLCMagnolia, TX, CCN A91658 Hospice 5% Or Greater Direct Ownership Interest (50%)
Corporate Director (50%)
W-2 Managing Employee (50%)		 Jun 9, 2022
Jun 9, 2022
Jun 9, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1649234576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132795",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773932795",
            "telephone_number": "936-273-2016",
            "fax_number": "936-273-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4185 TECHNOLOGY FOREST BLVD STE 150",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773812005",
            "telephone_number": "936-273-2016",
            "fax_number": "936-273-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMIL",
        "first_name": "NADEEM",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "L2349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155897501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.