Individual provider Active NPI

James Harry Phelan, M.D.

  • Family Medicine Physician
  • Kingwood, TX
National Provider Identifier
1811921448
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E2786 Issued in TX
Practice address
23330 Highway 59 N Ste 300
Kingwood, TX 77339-4471
Phone
(281) 359-3223
Fax
(281) 359-2089
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E2786 TX Primary

Addresses

Primary practice location

23330 Highway 59 N Ste 300
Kingwood, TX 77339-4471

Mailing address

23330 Highway 59 N Ste 300
Kingwood, TX 77339-4471
Phone (281) 359-3223

Other identifiers 1

IdentifierTypeStateIssuer
0067EYOtherTXBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address james.phelan.1@30157.direct.athenahealth.com Direct

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
I20111201000563 TX Practitioner - Family Practice 6507030590 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Baylor College of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vytalus Medical Group, PLLCGroup PAC ID 9830215748, 5 clinicians

Practice addresses (Care Compare)

23330 Hwy 59 N
Suite 300
Kingwood, TX 77339-4471
Phone (281) 319-8300

Hospital & facility affiliations

  • Vitalcaring Group Home health agency, Kingwood, TX, CCN 679720
  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684
  • HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775
  • Tops Surgical Specialty Hospital Hospital, Houston, TX, CCN 450774

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E2786TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vytalus Medical Group, PLLC Family Medicine CurrentSince Jan 20, 2016 Accepting new patients
Texienne Physicians Medical Association PLLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

23330 Highway 59 N
Ste 300
Kingwood, TX 77339
Phone (281) 319-8300

9303 Pinecroft Dr
Ste 280
The Woodlands, TX 77380
Phone (832) 813-5259

Interoperability endpoints

  • Direct secure messaging: james.phelan.1@30157.direct.athenahealth.com

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 4

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1811921448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23330 HIGHWAY 59 N STE 300",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394471",
            "telephone_number": "281-359-3223",
            "fax_number": "281-359-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23330 HIGHWAY 59 N STE 300",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394471",
            "telephone_number": "281-359-3223",
            "fax_number": "281-359-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELAN",
        "first_name": "JAMES",
        "middle_name": "HARRY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E2786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0067EY",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "james.phelan.1@30157.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "23330 Highway 59 N Ste 300",
            "city": "Kingwood",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773394471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.