Individual provider Active NPI

Jesus Mayor Jr., M.D.

  • General Practice Physician
  • Houston, TX
National Provider Identifier
1689727257
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
H-3116 Issued in TX
Practice address
302 W Gulf Bank Rd
Houston, TX 77037-2325
Phone
(281) 447-7614
Fax
(281) 447-6549
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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 H3116 TX
General Practice Physician 208D00000X H-3116 TX Primary

Addresses

Primary practice location

302 W Gulf Bank Rd
Houston, TX 77037-2325

Mailing address

302 W Gulf Bank Rd
Houston, TX 77037-2325
Phone (281) 447-7614

Other identifiers 7

IdentifierTypeStateIssuer
26285OtherTXAMERIGROUP
760528198OtherTXTAX ID
1024606OtherTXAETNA
126942501MedicaidTX
126942504OtherTXTHSTEP
8Z1587OtherTXBC BS PPO
E0066996OtherTXDPS

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
I20121231000242 TX Practitioner - Family Practice 6901864651 Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University Central del Caribe Escuela de Medicina, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

302 W Gulf Bank Rd
Houston, TX 77037-2365

302 W Gulf Bank Rd a
Gulf Bank Medical Center
Houston, TX 77037-2365
Phone (281) 447-7614

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H3116TXMDFamily Medicine Physician
H-3116TXMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Express Specialty Pharmacy LLC Current Accepting new patients
Gulf Bank Medical Center PastSince Apr 30, 1997 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jmayor@1771.securemail.prognocis.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1689727257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W GULF BANK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770372325",
            "telephone_number": "281-447-7614",
            "fax_number": "281-447-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W GULF BANK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770372325",
            "telephone_number": "281-447-7614",
            "fax_number": "281-447-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYOR",
        "first_name": "JESUS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H3116",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "H-3116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "26285",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "760528198",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1024606",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126942501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THSTEP",
            "identifier": "126942504",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS PPO",
            "identifier": "8Z1587",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "E0066996",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.