Individual provider Active NPI

John Jakes Pang, D.O.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1689693640
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K5175 Issued in TX
Practice address
600 N Sam Houston Pkwy W Ste 650
Houston, TX 77067-4336
Phone
(281) 654-4500
Fax
(281) 654-4501
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K5175 TX Primary

Addresses

Primary practice location

600 N Sam Houston Pkwy W Ste 650
Houston, TX 77067-4336

Mailing address

600 N Sam Houston Pkwy W Ste 650
Houston, TX 77067-4336
Phone (281) 654-4500

Other identifiers 2

IdentifierTypeStateIssuer
092471401MedicaidTX
092471405MedicaidTX

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
I20041105000473 TX Practitioner - Family Practice 6103889696 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

15881 FM 529 Rd
Houston, TX 77095-2577
Phone (346) 646-4218

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K5175TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Villagemd of Southeast Texas, PA Family Medicine CurrentSince Apr 1, 2026 Accepting new patients
Wellmed Medical Group, P.a. Family Medicine CurrentSince Dec 3, 2018 Accepting new patients
Village Family Practice, L.L.P Family Medicine CurrentSince Apr 1, 2026 Accepting new patients
Wellmed Medical Group, P.a. Family Medicine CurrentSince Dec 3, 2018 Accepting new patients
Wellmed Medical Group, PA Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Duke P Vu PA Family Medicine PastSince Jul 1, 2023 Accepting new patients

Locations

13420 Tomball Pkwy
Ste I
Houston, TX 77086
Phone (281) 999-7601

15881 FM 529 Rd
Houston, TX 77095
Phone (346) 646-4218

600 N Sam Houston Pkwy W
Ste 650
Houston, TX 77067
Phone (281) 654-4500

200 W Kearney St
Mesquite, TX 75149
Phone (972) 285-0221

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

2858 N Belt Line Rd
Ste 600
Sunnyvale, TX 75182
Phone (214) 225-0209

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: john.pang@wellmed.eclinicaldirectplus.com

Organizations & group practices 6

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1689693640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N SAM HOUSTON PKWY W STE 650",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770674336",
            "telephone_number": "281-654-4500",
            "fax_number": "281-654-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N SAM HOUSTON PKWY W STE 650",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770674336",
            "telephone_number": "281-654-4500",
            "fax_number": "281-654-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANG",
        "first_name": "JOHN",
        "middle_name": "JAKES",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K5175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092471401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092471405",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.