Gregory Jelinek, MD

Individual provider Active NPI Diagnostic Radiology Physician · Navasota, TX

NPI 1649367293 · NPPES record last updated Dec 14, 2007

Key facts

NPI
1649367293
Entity type
Individual (NPI type 1)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
License
G1050 (TX)
Practice address
10314 Glennswood Dr
Navasota, TX 77868-6306
Phone
(936) 825-7134
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G1050TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Regional Medical System Past Accepting new patients
Ozark Radiology Services, PLLC Diagnostic Radiology Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G1050 TX Yes

Addresses

Primary practice location

10314 Glennswood Dr
Navasota, TX 77868-6306

Mailing address

10314 Glennswood Dr
Navasota, TX 77868-6306
Phone (936) 825-7134

Other identifiers

IdentifierTypeStateIssuer
P00236698OtherARRAILROAD MEDICARE

Other providers in Navasota, TX

All providers in Navasota, TX · Diagnostic Radiology Physician in Texas

Sources for this page

Verify at the official NPI Registry.