Active NPI
Jesus Beltran III, M.D.,P.A.
- Family Medicine Physician
- Tomball, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- J6831
- Practice address
- 11605 Spring Cypress Rd
Unit a
Tomball, TX 77377-8915 - Phone
- (281) 357-1890
- Fax
- (281) 351-5032
- NPI assigned
- Jan 5, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | J6831 | TX | Primary |
Addresses
Primary practice location
11605 Spring Cypress Rd
Unit a
Tomball, TX 77377-8915
Mailing address
11605 Spring Cypress Rd
Unit a
Tomball, TX 77377-8915
Phone (281) 357-1890
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0063DH | Other | TX | BCBS PROVIDER NO. |
| 760596382 | Other | TX | TAX ID |
| 135189206 | 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
- General Practice
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11605 Spring Cypress Rd
Suite a
Tomball, TX 77377-8915
Phone (281) 357-1890
11605 Spring Cypress Rd a
Tomball, TX 77377-8915
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J6831 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jesus Beltran M D P a | Family Medicine | Current | Accepting new patients |
| Free Foot Doctor.Com | Past | Accepting new patients | |
| J Moran & Associates Foot & Ankle Clinic PA | Past | Accepting new patients |
Locations
11605 Spring Cypress Rd
Ste A
Tomball, TX 77377
Phone (281) 357-1890
Interoperability endpoints
- https://api.platform.athenahealth.com/16376/brand/1/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Tomball, TX
- NPI 1821312737
-
- Primary Podiatric Medicine Podiatrist
- Tomball, TX
- NPI 1164890562
-
- Clinic/Center
- Tomball, TX
- NPI 1891978326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1811044126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11605 SPRING CYPRESS RD",
"address_2": "UNIT A",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773778915",
"telephone_number": "281-357-1890",
"fax_number": "281-351-5032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11605 SPRING CYPRESS RD",
"address_2": "UNIT A",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773778915",
"telephone_number": "281-357-1890",
"fax_number": "281-351-5032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELTRAN",
"first_name": "JESUS",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.,P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "J6831",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NO.",
"identifier": "0063DH",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "760596382",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "135189206",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tomball, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.