Active NPI
Baptiste John Dejean III, M.D.
- Ophthalmology Physician
- Conroe, TX
National Provider Identifier
1669475455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- J4078
- Practice address
- 400 S Loop 336 W
Conroe, TX 77304-3302 - Phone
- (936) 539-4500
- Fax
- (936) 539-4050
- NPI assigned
- May 24, 2005
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | J4078 | TX | Primary |
Addresses
Primary practice location
400 S Loop 336 W
Conroe, TX 77304-3302
Mailing address
400 S Loop 336 W
Conroe, TX 77304-3302
Phone (936) 539-4500
Other practice location 1
129 Vision Park Blvd Ste 110
Shenandoah, TX 77384-3024
Phone (936) 539-4500
Other practice location 2
3361 Montgomery Rd
Huntsville, TX 77340-6416
Phone (936) 539-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122190502 | Medicaid | TX |
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
- Ophthalmology
- Education
- University of Texas Southwestern Medical School at Dallas, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 S Loop 336
Conroe, TX 77304-3302
Phone (936) 539-4500
Hospital & facility affiliations
- Memorial Hermann Hospital System
- HCA Houston Healthcare Conroe
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.63 of 100
- Quality
- 95.33
- Improvement activities
- 40
- Cost
- 74.98
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 306 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dejean & Kuglen Eye Associates LLP | Ophthalmology | Current | Accepting new patients |
| Dejean & Kuglen Eye Associates, LLP | Current | Accepting new patients | |
| Isurg of Spring, LLC | Past | Accepting new patients |
Locations
400 S Loop 336 W
Conroe, TX 77304
Phone (406) 539-4500
3361 Montgomery Rd
Huntsville, TX 77340
Phone (936) 539-4500
129 Vision Park Blvd
Ste 110
Shenandoah, TX 77384
Phone (936) 539-4500
Interoperability endpoints
- bdejean@averyeye.emadirect.md
- bdejean@yourcarecommunity.org
Organizations & group practices 3
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.
-
- Ophthalmology Physician
- Conroe, TX
- NPI 1952322067
-
- Durable Medical Equipment & Medical Supplies
- Huntsville, TX
- NPI 1003523887
-
- Ambulatory Surgical Clinic/Center
- Spring, TX
- NPI 1356172399
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Conroe, TX
- NPI 1962455816
-
- 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": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1669475455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 S LOOP 336 W",
"city": "CONROE",
"state": "TX",
"postal_code": "773043302",
"telephone_number": "936-539-4500",
"fax_number": "936-539-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S LOOP 336 W",
"city": "CONROE",
"state": "TX",
"postal_code": "773043302",
"telephone_number": "936-539-4500",
"fax_number": "936-539-4050"
}
],
"practiceLocations": [
{
"address_1": "129 Vision Park Blvd Ste 110",
"address_purpose": "LOCATION",
"city": "Shenandoah",
"state": "TX",
"postal_code": "773843024",
"country_code": "US",
"telephone_number": "936-539-4500",
"fax_number": "936-539-4050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3361 Montgomery Rd",
"address_purpose": "LOCATION",
"city": "Huntsville",
"state": "TX",
"postal_code": "773406416",
"country_code": "US",
"telephone_number": "936-539-4500",
"fax_number": "936-539-4050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEJEAN",
"first_name": "BAPTISTE",
"middle_name": "JOHN",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "J4078",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122190502",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.