Individual provider Active NPI

Javaria Jabeen, DO

  • Family Medicine Physician
  • Flower Mound, TX
National Provider Identifier
1679997282
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q2305 Issued in TX
Practice address
1651 Justin Rd
Flower Mound, TX 75028-4323
Phone
(972) 691-9800
Fax
(940) 205-4454
NPI assigned
Feb 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 271944 NY
Family Medicine Physician 207Q00000X Q2305 TX Primary

Addresses

Primary practice location

1651 Justin Rd
Flower Mound, TX 75028-4323

Mailing address

1651 Justin Rd
Flower Mound, TX 75028-4323
Phone (972) 691-9800

Other identifiers 2

IdentifierTypeStateIssuer
00Q8Q0OtherTXBLUE CROSS BLUE SHIELD
618721800OtherTXDEPARTMENT OF LABOR

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
I20150302002350 TX Practitioner - Family PracticePractitioner - General PracticePractitioner - Internal Medicine 7810213220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice, Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1033 Long Prairie Rd
Suite 6
Flower Mound, TX 75022-4230
Phone (972) 691-9800

1651 Justin Rd
Flower Mound, TX 75028-4323
Phone (972) 691-9800

950 Parker SQ
Flower Mound, TX 75028-7430
Phone (972) 691-9800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
271944NYMDFamily Medicine Physician
Q2305TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yz Healthcare P.a. CurrentSince Jun 15, 2015 Accepting new patients
Yz Healthcare PA Past Accepting new patients
Frank E Elliott, MD. P.a. Past Accepting new patients

Locations

801 W Park Row Dr
Arlington, TX 76013
Phone (817) 303-8888

1651 Justin Rd
Flower Mound, TX 75028
Phone (972) 691-9800

950 Parker Sq
Flower Mound, TX 75028
Phone (972) 691-9800

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.

NPI Registry JSON

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1679997282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 JUSTIN RD",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750284323",
            "telephone_number": "972-691-9800",
            "fax_number": "940-205-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 JUSTIN RD",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750284323",
            "telephone_number": "972-691-9800",
            "fax_number": "940-205-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABEEN",
        "first_name": "JAVARIA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-18",
        "last_updated": "2023-12-28",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "271944",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q2305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00Q8Q0",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "618721800",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.