Individual provider Active NPI

Jyothi Mamidi Juarez, M.D

  • Endocrinology, Diabetes & Metabolism Physician
  • Webster, TX
National Provider Identifier
1801079769
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
L4995 Issued in TX
Practice address
205 E Medical Center Blvd
Suite 2260
Webster, TX 77598-4376
Phone
(713) 929-0042
Fax
(713) 929-0044
NPI assigned
Dec 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X L4995 TX Primary

Addresses

Primary practice location

205 E Medical Center Blvd
Suite 2260
Webster, TX 77598-4376

Mailing address

205 E Medical Center Blvd
Webster, TX 77598-4376
Phone (713) 929-0043

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
I20081226000137 TX Practitioner - Endocrinology 3577638873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
University of Texas Medical School at San Antonio, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthcare Specialists PLLCGroup PAC ID 1153656095, 3 clinicians

Practice addresses (Care Compare)

380 E Medical Ctr Blvd
Webster, TX 77598-4321
Phone (281) 480-7832

Hospital & facility affiliations

  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617
  • Houston Methodist Clear Lake Hospital Hospital, Nassau Bay, TX, CCN 450709
  • University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Specialists, PLLC Endocrinology, Diabetes & Metabolism CurrentSince May 1, 2019 Accepting new patients
Pediatric Consultants, P.a Past Accepting new patients

Locations

1834 Southmore Blvd
Houston, TX 77004
Phone (914) 513-9988

350 N Texas Ave
Ste A2
Webster, TX 77598
Phone (281) 316-3659

205 E Medical Center Blvd
Ste B
Webster, TX 77598
Phone (281) 480-7832

380 E Medical Center Blvd
Webster, TX 77598
Phone (281) 332-6949

205 E Medical Center Blvd
Webster, TX 77598
Phone (281) 218-7251

205 E Medical Center Blvd
Ste 2260
Webster, TX 77598
Phone (713) 929-0042

Organizations & group practices 2

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 3

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": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1801079769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E MEDICAL CENTER BLVD",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984376",
            "telephone_number": "713-929-0043",
            "fax_number": "713-929-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E MEDICAL CENTER BLVD",
            "address_2": "SUITE 2260",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984376",
            "telephone_number": "713-929-0042",
            "fax_number": "713-929-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "JYOTHI",
        "middle_name": "MAMIDI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "L4995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.