Active NPI
Andrew A Jackson, MD
- Hematology & Oncology Physician
- Shenandoah, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- Q0464
- Practice address
- 9180 Pinecroft Dr Ste 600
Shenandoah, TX 77380 - Phone
- (281) 296-0365
- Fax
- (281) 298-8907
- NPI assigned
- Aug 1, 2012
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Q0464 | TX | |
| Medical Oncology Physician | 207RX0202X | Q0464 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | BP1-0040195 | TX | |
| Hematology & Oncology Physician | 207RH0003X | Q0464 | TX | Primary |
Addresses
Primary practice location
9180 Pinecroft Dr Ste 600
Shenandoah, TX 77380
Mailing address
PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000
Other practice location 1
6431 Fannin St
MSB 1.134
Houston, TX 77030
Phone (713) 500-6526
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 335913503 | Medicaid | TX |
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
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- University of Texas Medical School at Houston, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13215 Dotson Rd
Houston, TX 77070-4535
18980 W Memorial Dr
Suite 440
Humble, TX 77338-4559
Phone (832) 616-5190
2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 586-2456
501 Saunders Ave
Tyler, TX 75702-7524
Phone (903) 579-9800
501 W Medical Ctr Blvd
Webster, TX 77598-4219
Phone (281) 332-7505
506 Graham Dr
Suite 200
Tomball, TX 77375-3346
Phone (832) 996-4300
7848 Gateway Blvd E
El Paso, TX 79915-1815
Phone (915) 599-1313
9180 Pinecroft Dr
Suite 600
Shenandoah, TX 77380-3883
Phone (281) 296-0365
920 Medical Plaza Dr
Suite 100
Shenandoah, TX 77380-3256
Phone (832) 616-5180
925 Gessner Rd
Suite 550
Houston, TX 77024-2843
Phone (713) 467-1722
Hospital & facility affiliations
- Theracare Home Health
- Memorial Hermann Hospital System
- Houston Methodist the Woodlands Hospital
- Memorial Hermann - Texas Medical Center
- Memorial Hermann Northeast Hospital
- Houston Methodist Willowbrook Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.12 of 100
- Quality
- 67.48
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q0464 | TX | MD | Internal Medicine Physician |
| BP1-0040195 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Hematology & Oncology | Current | Accepting new patients |
| Texas Oncology PA | Hematology & Oncology | Current | Accepting new patients |
| Ut Physicians | Current | Accepting new patients | |
| Ut Physicians | Internal Medicine | Current | Accepting new patients |
| Texas Oncology PA | Hematology & Oncology | Current | Accepting new patients |
| University of Texas Health Science Center at Houston | Past | Accepting new patients |
Locations
7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
925 Gessner Rd
Ste 550
Houston, TX 77024
Phone (713) 467-1722
6431 Fannin St
#1134
Houston, TX 77030
Phone (713) 500-6525
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
9180 Pinecroft Dr
Ste 600
Shenandoah, TX 77380
Phone (281) 296-0365
Interoperability endpoints
- andrew.jackson@txo.ikm.direct-ci.com
Organizations & group practices 6
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.
-
- Health Educator
- Houston, TX
- NPI 1316534472
-
- General Acute Care Hospital
- Houston, TX
- NPI 1265886618
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Conroe, TX
- NPI 1619457579
-
- General Acute Care Hospital
- Humble, TX
- NPI 1295843787
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Houston, TX
- NPI 1437189115
Hospital
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
- General Acute Care Hospital
- Houston, TX
- NPI 1982666111
-
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1184179194
-
- General Acute Care Hospital
- Houston, TX
- NPI 1871619254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696377600000",
"number": "1760738355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 911230",
"city": "DALLAS",
"state": "TX",
"postal_code": "753911230",
"telephone_number": "972-997-8000",
"fax_number": "972-234-0813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9180 PINECROFT DR STE 600",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "77380",
"telephone_number": "281-296-0365",
"fax_number": "281-298-8907"
}
],
"practiceLocations": [
{
"address_1": "6431 Fannin St",
"address_2": "MSB 1.134",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "77030",
"country_code": "US",
"telephone_number": "713-500-6526",
"fax_number": "713-500-6530",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON",
"first_name": "ANDREW",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-01",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "Q0464",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "TX",
"license": "Q0464",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP1-0040195",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TX",
"license": "Q0464",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "335913503",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.