Active NPI
John Jakes Pang, D.O.
- Family Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K5175
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092471401 | Medicaid | TX | |
| 092471405 | 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
- 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| K5175 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Villagemd of Southeast Texas, PA | Family Medicine | Current | Accepting new patients |
| Wellmed Medical Group, P.a. | Family Medicine | Current | Accepting new patients |
| Village Family Practice, L.L.P | Family Medicine | Current | Accepting new patients |
| Wellmed Medical Group, P.a. | Family Medicine | Current | Accepting new patients |
| Wellmed Medical Group, PA | Family Medicine | Current | Accepting new patients |
| Duke P Vu PA | Family Medicine | Past | 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
- 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.
-
- Family Medicine Physician
- Houston, TX
- NPI 1841643327
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1437156486
Family Medicine
-
- Family Medicine Physician
- Houston, TX
- NPI 1083619191
-
- Family Medicine Physician
- Corpus Christi, TX
- NPI 1740588243
-
- Family Medicine Physician
- Las Cruces, NM
- NPI 1659679157
-
- Family Medicine Physician
- Houston, TX
- NPI 1285727024
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.