Individual provider Active NPI

Maria Luisa Jordan, MD

  • Family Medicine Physician
  • Tomball, TX
National Provider Identifier
1861480402
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J9892 Issued in TX
Practice address
27920 Tomball Pkwy
Suite 210
Tomball, TX 77375-6476
Phone
(281) 290-7777
Fax
(281) 378-6808
NPI assigned
Oct 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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 J9892 TX Primary

Addresses

Primary practice location

27920 Tomball Pkwy
Suite 210
Tomball, TX 77375-6476

Mailing address

27920 Tomball Pkwy
Suite 210
Tomball, TX 77375-6476
Phone (281) 290-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2013 through Jul 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J9892TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ep Descant II Mdpa Family Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJFGAA/Endpoint/AJFGAA

Organizations & group practices 1

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1861480402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27920 TOMBALL PKWY",
            "address_2": "SUITE 210",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756476",
            "telephone_number": "281-290-7777",
            "fax_number": "281-378-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27920 TOMBALL PKWY",
            "address_2": "SUITE 210",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756476",
            "telephone_number": "281-290-7777",
            "fax_number": "281-378-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "MARIA",
        "middle_name": "LUISA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J9892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.