Active NPI
Jessica Alexandra Casas, M.D.
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- Q9587
- Practice address
- 6621 Fannin St # B19
Houston, TX 77030-2358 - Phone
- (832) 826-8045
- NPI assigned
- Jul 21, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MT195398 | PA | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | Q9587 | TX | Primary |
Addresses
Primary practice location
6621 Fannin St # B19
Houston, TX 77030-2358
Mailing address
6621 Fannin St # B19
Houston, TX 77030-2358
Phone (832) 826-8045
Other practice location 1
34th St. & Civic Center Blvd
Room 9NW55
Philadelphia, PA 19104-4399
Phone (215) 590-2437
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240130003556 | TX | Practitioner - Internal Medicine | 1557714128 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Texas Childrens Physician Group
Practice addresses (Care Compare)
6651 Main St
Houston, TX 77030-2351
Phone (832) 826-3000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q9587 | TX | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
| MT195398 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Children'S Physician Group | Pediatrics | Current | Accepting new patients |
Locations
8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250
6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764
6621 Fannin St
#B19
Houston, TX 77030
Phone (832) 826-8045
6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000
Interoperability endpoints
- jcasas215406@prddirect.texaschildrens.org
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1740410067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6621 FANNIN ST # B19",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302358",
"telephone_number": "832-826-8045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6621 FANNIN ST # B19",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302358",
"telephone_number": "832-826-8045"
}
],
"practiceLocations": [
{
"address_1": "34th St. & Civic Center Blvd",
"address_2": "Room 9NW55",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191044399",
"country_code": "US",
"telephone_number": "215-590-2437",
"fax_number": "215-590-2768",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASAS",
"first_name": "JESSICA",
"middle_name": "ALEXANDRA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-21",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MT195398",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "TX",
"license": "Q9587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.