Active NPI
Jonathan Parumog Corpuz, MD, MPH
- Pediatrics Physician
- Carrollton, TX
National Provider Identifier
1700347929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- T5091
- Practice address
- 4443 N Josey LN Ste 160
Carrollton, TX 75010-4676 - Phone
- (972) 492-4242
- NPI assigned
- Mar 29, 2019
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | T5091 | TX | Primary |
Addresses
Primary practice location
4443 N Josey LN Ste 160
Carrollton, TX 75010-4676
Mailing address
PO Box 733784
Dallas, TX 75373-3784
Phone (682) 885-6483
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jcorpuz186140@CookChildrens.direct-ci.com |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook Children'S Physician Network | Pediatrics | Current | Accepting new patients |
| Cook Children'S Physician Network | Pediatrics | Current | Accepting new patients |
| Prime Healthcare Services Mesquite LLC | Past | Accepting new patients | |
| Texas Health Presbyterian Hospital Plano | Past | Accepting new patients | |
| Methodist Hospitals of Dallas | Past | Accepting new patients |
Locations
4443 N Josey Ln
Ste 160
Carrollton, TX 75010
Phone (972) 492-4242
801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054
136 El Chico Trl
Ste 102
Willow Park, TX 76087
Phone (817) 441-5412
Interoperability endpoints
- jcorpuz186140@cookchildrens.direct-ci.com
- https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/
Organizations & group practices 5
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.
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1750369203
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1083472062
-
- General Acute Care Hospital
- Richardson, TX
- NPI 1033165501
-
- General Acute Care Hospital
- Mesquite, TX
- NPI 1790174860
-
- General Acute Care Hospital
- Plano, TX
- NPI 1770514077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1700347929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 733784",
"city": "DALLAS",
"state": "TX",
"postal_code": "753733784",
"telephone_number": "682-885-6483",
"fax_number": "682-885-3113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4443 N JOSEY LN STE 160",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104676",
"telephone_number": "972-492-4242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORPUZ",
"first_name": "JONATHAN",
"middle_name": "PARUMOG",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-29",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "T5091",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jcorpuz186140@CookChildrens.direct-ci.com",
"affiliation": "N",
"address_1": "4443 N Josey Ln Ste 160",
"city": "Carrollton",
"state": "TX",
"country_code": "US",
"postal_code": "750104676",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.