Individual provider Active NPI

James F. Jackson III, M.D.

  • Gastroenterology Physician
  • San Antonio, TX
National Provider Identifier
1730115528
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
M5774 Issued in TX
Practice address
855 Proton Rd
San Antonio, TX 78258-4203
Phone
(210) 614-1234
Fax
(210) 614-0952
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X M5774 TX Primary

Addresses

Primary practice location

855 Proton Rd
San Antonio, TX 78258-4203

Mailing address

8415 Datapoint Dr
Suite 1000
San Antonio, TX 78229-3298
Phone (210) 614-1234

Other practice location 1

5223 Hamilton Wolfe Rd
San Antonio, TX 78229-4463
Phone (210) 614-1234

Other practice location 2

12850 Toepperwein Rd
Live Oak, TX 78233-4115
Phone (210) 614-1234

Other identifiers 2

IdentifierTypeStateIssuer
189168101MedicaidTX
8J8384OtherTXBCBS

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
I20071106000303 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 6709889488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Texas Medical School at San Antonio, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Digestive Disease Consultants, PLLCGroup PAC ID 3375531379, 616 clinicians

Practice addresses (Care Compare)

4370 Medical Arts Dr
Suite 295
Flower Mound, TX 75028-1742
Phone (972) 691-3777

Hospital & facility affiliations

  • Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
66.51
Promoting interoperability
98
Improvement activities
40
Cost
71.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy190
Upper gastrointestinal (GI) endoscopy for acid reflux181

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC Gastroenterology CurrentSince Feb 1, 2020 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology Current Accepting new patients
Texas Digestive Disease Consultants PLLC Gastroenterology CurrentSince Feb 1, 2020 Accepting new patients

Locations

4370 Medical Arts Dr
Ste 295
Flower Mound, TX 75028
Phone (972) 691-3777

12850 Toepperwein Rd
Live Oak, TX 78233
Phone 2106141234713

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

5223 Hamilton Wolfe Rd
San Antonio, TX 78229
Phone 2106141234713

855 Proton Rd
San Antonio, TX 78258
Phone (210) 582-8000

Organizations & group practices 3

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.

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1730115528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 DATAPOINT DR",
            "address_2": "SUITE 1000",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293298",
            "telephone_number": "210-614-1234",
            "fax_number": "210-614-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 PROTON RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584203",
            "telephone_number": "210-614-1234",
            "fax_number": "210-614-0952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5223 Hamilton Wolfe Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294463",
            "country_code": "US",
            "telephone_number": "210-614-1234",
            "fax_number": "216-614-0952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12850 Toepperwein Rd",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "TX",
            "postal_code": "782334115",
            "country_code": "US",
            "telephone_number": "210-614-1234",
            "fax_number": "216-614-0952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JAMES",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "M5774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189168101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8J8384",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.