NPIMap

Individual provider Active NPI

Jamil A Memon, M.D.

  • Internal Medicine Physician
  • Webster, TX
National Provider Identifier
1790730430
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L7044 Issued in TX
Practice address
350 Blossom St
Webster, TX 77598-4206
Phone
(281) 316-7966
Fax
(281) 316-7963
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L7044 TX Primary

Addresses

Primary practice location

350 Blossom St
Webster, TX 77598-4206

Mailing address

2003 Greenwood Oaks Dr
Houston, TX 77062-2306
Phone (281) 316-7966

Other identifiers 1

IdentifierTypeStateIssuer
196323301MedicaidTX

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
I20060206000553 TX Practitioner - Internal MedicinePractitioner - Other (Physician) 4486668837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

350 Blossom St
Webster, TX 77598-4206
Phone (281) 316-7966

Hospital & facility affiliations

  • Accentcare Home Health of Texas Home health agency, Galveston, TX, CCN 679104
  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Houston Methodist Clear Lake Hospital Hospital, Nassau Bay, TX, CCN 450709
  • University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018
  • Kindred Hospital Clear Lake Long-term care hospital, Webster, TX, CCN 452075

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Jamil a. Memon PA Internal Medicine CurrentSince Mar 28, 2007 Accepting new patients
Southeast Medical Group, PA Internal Medicine PastSince Apr 30, 2003 Accepting new patients
CHG Cornerstone Hospital of Houston PastSince Apr 30, 2003 Accepting new patients
Inpatient Medical Services, P.a. Internal Medicine Past Accepting new patients

Locations

350 Blossom St
Webster, TX 77598
Phone (281) 316-7800

Organizations & group practices 4

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 12

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1790730430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 GREENWOOD OAKS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770622306",
            "telephone_number": "281-316-7966",
            "fax_number": "281-316-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BLOSSOM ST",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984206",
            "telephone_number": "281-316-7966",
            "fax_number": "281-316-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEMON",
        "first_name": "JAMIL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L7044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196323301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.