Individual provider Active NPI

Jacqueline Parchem, M.D.

  • Maternal & Fetal Medicine Physician
  • Houston, TX
National Provider Identifier
1649595752
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
Q6554 Issued in TX
Practice address
6410 Fannin St Ste 360
Houston, TX 77030-3002
Phone
(832) 328-7133
Fax
(713) 383-1479
NPI assigned
Mar 31, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A119163 CA
Maternal & Fetal Medicine Physician 207VM0101X Q6554 TX Primary

Addresses

Primary practice location

6410 Fannin St Ste 360
Houston, TX 77030-3002

Mailing address

6431 Fannin, MSB 3.286
Houston, TX 77030-3004

Other practice location 1

1001 Potrero Ave
6D-23 SFGH OB GYN
San Francisco, CA 94110-3518
Phone (415) 206-3061

Other names 1

  • Jacqueline Gilmore Former name

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
I20160511000126 TX Practitioner - Obstetrics/Gynecology 5294024576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, San Francisco School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

6410 Fannin St
Suite 250
Houston, TX 77030-3004
Phone (832) 325-7131

Hospital & facility affiliations

  • Harris Health Hospital, Houston, TX, CCN 450289

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A119163CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Obstetrics & Gynecology CurrentSince Aug 1, 2017 Accepting new patients
Ut Physicians CurrentSince Aug 1, 2017 Accepting new patients
Baylor College of Medicine CurrentSince May 1, 2016 Accepting new patients
Baylor College of Medicine CurrentSince May 1, 2016 Accepting new patients
Harris County Hospital District Past Accepting new patients

Locations

6410 Fannin St
Ste 250
Houston, TX 77030
Phone (713) 500-4360

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6431 Fannin St
#3286
Houston, TX 77030
Phone (713) 500-7780

6410 Fannin St
Ste 360
Houston, TX 77030
Phone (832) 325-7200

Organizations & group practices 5

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": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1649595752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 FANNIN, MSB 3.286",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST STE 360",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303002",
            "telephone_number": "832-328-7133",
            "fax_number": "713-383-1479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Potrero Ave",
            "address_2": "6D-23 SFGH OB GYN",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941103518",
            "country_code": "US",
            "telephone_number": "415-206-3061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARCHEM",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-31",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A119163",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "Q6554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "GILMORE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.