Individual provider Active NPI

Norman Lee Jetty III, MD

  • Family Medicine Physician
  • League City, TX
National Provider Identifier
1730812819
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
V8654 Issued in TX
Practice address
1600 W League City Pkwy Ste M
League City, TX 77573-6443
Phone
(713) 270-0909
NPI assigned
Jul 6, 2022
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X V8654 TX Primary

Addresses

Primary practice location

1600 W League City Pkwy Ste M
League City, TX 77573-6443

Mailing address

1600 W League City Pkwy Ste M
League City, TX 77573-6443
Phone (713) 270-0909

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
I20250911002212 TX Practitioner - Family Practice 2961905492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wangandjiang, MD, PAGroup PAC ID 0345236485, 13 clinicians

Practice addresses (Care Compare)

9999 Bellaire Blvd
Suite 370
Houston, TX 77036-3499
Phone (713) 270-0909

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wang&Jiang, MD, PA Family Medicine CurrentSince Sep 1, 2025 Accepting new patients

Locations

1500 S Dairy Ashford Rd
Ste 198
Houston, TX 77077
Phone (281) 759-0200

9999 Bellaire Blvd
Ste 370
Houston, TX 77036
Phone (713) 270-0909

4320 Broadway St
Ste 100
Pearland, TX 77581
Phone (281) 485-0334

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1730812819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W LEAGUE CITY PKWY STE M",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736443",
            "telephone_number": "713-270-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W LEAGUE CITY PKWY STE M",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736443",
            "telephone_number": "713-270-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETTY",
        "first_name": "NORMAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-06",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V8654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.