Active NPI
Jan Drutz, MD
- Pediatrics Physician
- Houston, TX
National Provider Identifier
1801976147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D9785
- Practice address
- 6701 Fannin St
CCC 1540.00
Houston, TX 77030-2316 - Phone
- (832) 822-3439
- Fax
- (832) 825-3435
- NPI assigned
- Oct 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D9785 | TX | Primary |
Addresses
Primary practice location
6701 Fannin St
CCC 1540.00
Houston, TX 77030-2316
Mailing address
6701 Fannin St
CCC 1540.00
Houston, TX 77030-2316
Phone (832) 822-3439
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136187501 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D9785 | TX | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302048000000",
"number": "1801976147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 FANNIN ST",
"address_2": "CCC 1540.00",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302316",
"telephone_number": "832-822-3439",
"fax_number": "832-825-3455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 FANNIN ST",
"address_2": "CCC 1540.00",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302316",
"telephone_number": "832-822-3439",
"fax_number": "832-825-3435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRUTZ",
"first_name": "JAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2011-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "D9785",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136187501",
"state": "TX"
}
],
"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 Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.