Individual provider Active NPI

Cynthia Jansky, MD

  • Obstetrics & Gynecology Physician
  • College Station, TX
National Provider Identifier
1689789158
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
J6504 Issued in TX
Practice address
1602 Rock Prairie Rd.
West BLDG Ste 230
College Station, TX 77845-2603
Phone
(979) 776-5602
Fax
(979) 776-5265
NPI assigned
Aug 21, 2006
Last updated
May 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X J6504 TX Primary

Addresses

Primary practice location

1602 Rock Prairie Rd.
West BLDG Ste 230
College Station, TX 77845-2603

Mailing address

2900 E 29TH St Ste 300
Bryan, TX 77802-2603
Phone (979) 776-5602

Other identifiers 1

IdentifierTypeStateIssuer
030885001MedicaidTX

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
I20080131000280 TX Practitioner - Obstetrics/Gynecology 5092897900 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Baylor College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1602 Rock Prairie Rd
Suite 230
College Station, TX 77845-8307
Phone (979) 776-5602

17510 W Grand Pkwy S
Sugar Land, TX 77479-2649

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast PLLC CurrentSince Feb 16, 2018 Accepting new patients
Privia Medical Group Gulf Coast, PLLC Obstetrics & Gynecology CurrentSince Feb 16, 2018 Accepting new patients
Brazos Valley Obstetric Hospitalist, PA Obstetrics & Gynecology CurrentSince Sep 1, 2015 Accepting new patients
St Joseph Regional Health Center Past Accepting new patients

Locations

2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777

2900 E 29th St
Ste 300
Bryan, TX 77802
Phone (979) 774-8200

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Interoperability endpoints

  • Direct secure messaging: cynthia.jansky.1@8042.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1689789158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 E 29TH ST STE 300",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022603",
            "telephone_number": "979-776-5602",
            "fax_number": "979-776-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 ROCK PRAIRIE RD.",
            "address_2": "WEST BLDG STE 230",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778452603",
            "telephone_number": "979-776-5602",
            "fax_number": "979-776-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSKY",
        "first_name": "CYNTHIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J6504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030885001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.