NPIMap

Individual provider Active NPI

Nelson Atembe Tajong, MD

  • Gastroenterology Physician
  • Conroe, TX
National Provider Identifier
1760436182
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
M3761 Issued in TX
Practice address
690S Loop 336 W
Ste 215
Conroe, TX 77304-3322
Phone
(936) 828-3962
Fax
(936) 828-3967
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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 M3761 TX Primary

Addresses

Primary practice location

690S Loop 336 W
Ste 215
Conroe, TX 77304-3322

Mailing address

690S Loop 336 W 215
Conroe, TX 77304-3322
Phone (936) 828-3962

Other practice location 1

18354 Interstate 45 S Ste 200
Shenandoah, TX 77384-4993
Phone (936) 828-3962 ext. 90028

Other identifiers 1

IdentifierTypeStateIssuer
00J21AOtherTXGROUP MEDICARE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060726000328 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 3173571890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Temple University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

690 S Loop 336
Suite 215
Conroe, TX 77304-3322
Phone (936) 647-3174

Hospital & facility affiliations

  • HCA Houston Healthcare Conroe Hospital, Conroe, TX, CCN 450222
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Huntsville Memorial Hospital Hospital, Huntsville, TX, CCN 450347

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy142
Upper gastrointestinal (GI) endoscopy for acid reflux176

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M3761TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkside Surgery Center, LLC Current Accepting new patients
Mint Anesthesia, PLLC Current Accepting new patients
Lakeside Gastroenterology and Liver Specialists, PLLC Gastroenterology CurrentSince Jun 14, 2010 Accepting new patients
Parkside Gi Surgicenter, LLC PastSince Oct 1, 2025 Accepting new patients
Usm Anesthesia Associates LLC PastSince May 16, 2011 Accepting new patients

Locations

690 S Loop 336 W
Ste 130
Conroe, TX 77304
Phone (936) 232-9646

690 S Loop 336 W
Ste 215
Conroe, TX 77304
Phone (936) 228-9980

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAEABA
  • FHIR API: https://fhir4.healow.com/fhir/r4/AAEABA/Endpoint/AAEABA

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.

Hospital & facility affiliations 8

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1760436182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690S LOOP 336 W 215",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043322",
            "telephone_number": "936-828-3962",
            "fax_number": "936-828-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690S LOOP 336 W",
            "address_2": "STE 215",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043322",
            "telephone_number": "936-828-3962",
            "fax_number": "936-828-3967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18354 Interstate 45 S Ste 200",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773844993",
            "country_code": "US",
            "telephone_number": "936-828-3962 x90028",
            "fax_number": "936-828-3967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAJONG",
        "first_name": "NELSON",
        "middle_name": "ATEMBE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "M3761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE NUMBER",
            "identifier": "00J21A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.