Active NPI
Malay Jayswal, M.D.
- Family Medicine Physician
- Houston, TX
National Provider Identifier
1659722007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- S3203
- Practice address
- 11452 Space Center Blvd
Houston, TX 77059-3599 - Phone
- (134) 866-2007
- Fax
- (713) 486-6294
- NPI assigned
- Jun 28, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | S3203 | TX | Primary |
Addresses
Primary practice location
11452 Space Center Blvd
Houston, TX 77059-3599
Mailing address
11452 Space Center Blvd
Houston, TX 77059-3599
Phone (713) 486-6200
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11452 Space Ctr Blvd
Houston, TX 77059-3599
Phone (713) 486-6200
Hospital & facility affiliations
- Memorial Hermann Hospital System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S3203 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians Specialty Services | Family Medicine | Current | Accepting new patients |
| Ut Physicians | Family Medicine | Past | Accepting new patients |
Locations
6410 Fannin St
Ste 510
Houston, TX 77030
Phone (713) 500-5736
11452 Space Center Blvd
Houston, TX 77059
Phone (713) 486-6200
Interoperability endpoints
- mjayswal13445@direct.uth.org
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.
-
- Family Medicine Physician
- Houston, TX
- NPI 1801945027
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1659722007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11452 SPACE CENTER BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770593599",
"telephone_number": "713-486-6200",
"fax_number": "713-486-6294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11452 SPACE CENTER BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770593599",
"telephone_number": "134-866-2007",
"fax_number": "713-486-6294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAYSWAL",
"first_name": "MALAY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-28",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "S3203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.