Individual provider Active NPI

Jubril O Aderibigbe, FNP

  • Nurse Practitioner
  • Houston, TX
National Provider Identifier
1861025272
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP145121 Issued in TX
Practice address
17047 El Camino Real Ste 100
Houston, TX 77058-2657
Phone
(713) 422-2920
NPI assigned
Feb 14, 2020
Last updated
Oct 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP145121 TX Primary
Family Nurse Practitioner 363LF0000X AP145121 TX

Addresses

Primary practice location

17047 El Camino Real Ste 100
Houston, TX 77058-2657

Mailing address

17047 El Camino Real Ste 100
Houston, TX 77058-2657
Phone (713) 422-2920

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210323002407 TX Practitioner - Nurse Practitioner 8022425859 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical Branch at Galveston, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Em-I Medical Services PAGroup PAC ID 6507760543, 24 clinicians
Doctors Express of the Beaumont Area PAGroup PAC ID 5698816882, 211 clinicians

Practice addresses (Care Compare)

132 E Hospital Dr
Angleton, TX 77515-4112
Phone (954) 939-5000

15236 Wallisville Rd
Houston, TX 77049-4618
Phone (281) 862-8955

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
56.11 of 100Reported as group
Quality
50.63
Improvement activities
40
Cost
27.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP145121TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Em-I Medical Services PA Nurse Practitioner CurrentSince Feb 1, 2023 Accepting new patients
Katy Gaston Urgent Care PLLC CurrentSince Mar 1, 2022 Accepting new patients
Dispatchhealth-Texas P a CurrentSince Mar 22, 2021 Accepting new patients
Doctors Express of the Beaumont Area PA CurrentSince Jun 1, 2023 Accepting new patients
Southlake Doctors Express, PA PSC Current Accepting new patients

Locations

596 E Stacy Rd
Allen, TX 75002
Phone (469) 898-0199

132 E Hospital Dr
Angleton, TX 77515
Phone (210) 629-3866

6600 S Mopac Expy
Ste 2180
Austin, TX 78749
Phone (512) 522-3010

8831 N Highway 146
Baytown, TX 77523
Phone (281) 533-8354

3195 Dowlen Rd
Ste 105
Beaumont, TX 77706
Phone (409) 860-1888

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

15236 Wallisville Rd
Houston, TX 77049
Phone (281) 862-8955

211 Highland Cross Dr
Houston, TX 77073
Phone (713) 422-2920

2550 Gray Falls Dr
Ste 150
Houston, TX 77077
Phone (713) 422-2920

6340 N Eldridge Pkwy
Ste O
Houston, TX 77041
Phone (346) 385-9181

6445 FM 1463 Rd
Ste 230
Katy, TX 77494
Phone (281) 990-6890

6940 Katy Gaston Rd
Katy, TX 77494
Phone (832) 425-3773

8850 Spencer Hwy
La Porte, TX 77571
Phone (281) 946-9980

1921 W League City Pkwy
Ste 130
League City, TX 77573
Phone (281) 937-2590

505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

2201 N Central Expy
Ste 125
Richardson, TX 75080
Phone (214) 377-1790

7560 Glenview Dr
Ste 100
Richland Hills, TX 76180
Phone (817) 435-1970

4724 Lakeview Pkwy
Ste 300
Rowlett, TX 75088
Phone (469) 947-6240

4335 W Piedras Dr
Ste 101
San Antonio, TX 78228
Phone (210) 891-5235

2315 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 488-9922

605 Holderrieth Blvd
Tomball, TX 77375
Phone (281) 401-7500

200 Blossom St
Webster, TX 77598
Phone (281) 252-7000

Interoperability endpoints

  • Direct secure messaging: jaderibigbe1422950@direct.sw.org

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1861025272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17047 EL CAMINO REAL STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582657",
            "telephone_number": "713-422-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17047 EL CAMINO REAL STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582657",
            "telephone_number": "713-422-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADERIBIGBE",
        "first_name": "JUBRIL",
        "middle_name": "O",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-14",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP145121",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.