Organization Active NPI

Jesus Beltran M D P a

  • Family Medicine Physician
  • Tomball, TX
National Provider Identifier
1821312737
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J6831 Issued in TX
Legal business name
JESUS BELTRAN M D P A
Practice address
11605 Spring Cypress Rd
Unit a
Tomball, TX 77377-8915
Phone
(281) 357-1890
Fax
(281) 351-5032
NPI assigned
Mar 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Authorized official

Name
Dr. Jesus Beltran III, M.D.,P.A.NPI 1811044126
Title
Owner
Phone
(281) 357-1890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100616000604 TX Part B Supplier - Clinic/Group Practice 4385774462 Receives reassigned benefits from 1 practitioner
Practice locations: Tomball, TX

National Provider Directory

National Provider Directory

Locations

11605 Spring Cypress Rd
Ste A
Tomball, TX 77377
Phone (281) 357-1890

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1821312737",
    "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": {
        "organization_name": "JESUS BELTRAN M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "BELTRAN",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-357-1890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D.,P.A."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J6831",
            "primary": true
        }
    ],
    "identifiers": [],
    "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.