Individual provider Active NPI

Jaime Enrique Duarte, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1861553174
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L5312 Issued in TX
Practice address
3003 Navigation Blvd
Houston, TX 77003-1239
Phone
(713) 223-4466
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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 L5312 TX Primary

Addresses

Primary practice location

3003 Navigation Blvd
Houston, TX 77003-1239

Mailing address

3003 Navigation Blvd
Houston, TX 77003-1239
Phone (713) 223-4466

Other identifiers 4

IdentifierTypeStateIssuer
163266301MedicaidTX
163266303MedicaidTX
8S0530OtherTXBLUE CROSS ID
7893532OtherTXAETNA ID

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
I20050912000551 TX Practitioner - Family Practice 9830122886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Canal Family and Industrial Medicine P.a.Group PAC ID 1759314701, 2 clinicians

Practice addresses (Care Compare)

3003 Navigation Blvd
Houston, TX 77003-1239
Phone 71322344661020

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Canal Family and Industrial Medicine P.a. Family Medicine CurrentSince Mar 1, 2003 Accepting new patients

Locations

3003 Navigation Blvd
Houston, TX 77003
Phone (713) 223-4466

3016 Canal St
Houston, TX 77003
Phone (713) 223-4466

Interoperability endpoints

  • Direct secure messaging: jduarte@1687.securemail.prognocis.com

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1861553174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 NAVIGATION BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770031239",
            "telephone_number": "713-223-4466",
            "fax_number": "713-223-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 NAVIGATION BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770031239",
            "telephone_number": "713-223-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUARTE",
        "first_name": "JAIME",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L5312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163266301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163266303",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID",
            "identifier": "8S0530",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "7893532",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.