Individual provider Active NPI

Jennifer Ko Jung, M.D.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1811218290
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R4405 Issued in TX
Practice address
1315 St Joseph Pkwy Ste 806
Houston, TX 77002-8230
Phone
(713) 756-4780
NPI assigned
Jun 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27955 OK
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X R4405 TX Primary

Addresses

Primary practice location

1315 St Joseph Pkwy Ste 806
Houston, TX 77002-8230

Mailing address

1315 St Joseph Pkwy Ste 806
Houston, TX 77002-8230
Phone (713) 650-6556

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
I20180628000345 TX Practitioner - Family Practice 7911141189 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sherman MD Provider Inc Family Medicine CurrentSince Oct 14, 2025 Accepting new patients
Sherman MD Provider Inc CurrentSince Oct 14, 2025 Accepting new patients
Sherman MD Provider Inc Family Medicine Current Accepting new patients

Locations

1315 St Joseph Pkwy
Ste 806
Houston, TX 77002
Phone (713) 650-1900

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

3401 N Calais Dr
Ste A
Sherman, TX 75090
Phone (903) 870-2094

1908 N Laurent St
Ste 330
Victoria, TX 77901
Phone 36157203332244

Interoperability endpoints

  • Direct secure messaging: jennifer.jung.1@19036.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1811218290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY STE 806",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028230",
            "telephone_number": "713-650-6556",
            "fax_number": "713-650-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY STE 806",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028230",
            "telephone_number": "713-756-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "JENNIFER",
        "middle_name": "KO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-19",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "27955",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.