Active NPI
Jordan Dockery Reis, M.D.
- Neonatal-Perinatal Medicine Physician
- Austin, TX
National Provider Identifier
1861889487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- R7578
- Practice address
- 4900 Mueller Blvd
Suite 3S.066C
Austin, TX 78723-3079 - Phone
- (512) 324-0165
- NPI assigned
- Apr 21, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | BP10053053 | TX | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | R7578 | TX | Primary |
Addresses
Primary practice location
4900 Mueller Blvd
Suite 3S.066C
Austin, TX 78723-3079
Mailing address
4900 Mueller Blvd
Suite 3S.066C
Austin, TX 78723-3079
Phone (512) 324-0165
Other names 1
- Jordan Leigh Dockery
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10053053 | TX | MD | Pediatrics Physician |
| R7578 | TX | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrix Medical Group of Texas Billing, Inc. | Pediatrics | Past | Accepting new patients |
| Baylor Medical Center at Irving | Past | Accepting new patients | |
| Baylor Scott & White Medical Centers - Greater North Texas | Past | Accepting new patients | |
| Baylor University Medical Center | Past | Accepting new patients |
Interoperability endpoints
- jreis80840@direct.phhs.org
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Irving, TX
- NPI 1992700983
-
- General Acute Care Hospital
- McKinney, TX
- NPI 1124305065
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
-
- Neonatal-Perinatal Medicine Physician
- Houston, TX
- NPI 1649377359
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615507200000",
"number": "1861889487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 MUELLER BLVD",
"address_2": "SUITE 3S.066C",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233079",
"telephone_number": "512-324-0165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 MUELLER BLVD",
"address_2": "SUITE 3S.066C",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233079",
"telephone_number": "512-324-0165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIS",
"first_name": "JORDAN",
"middle_name": "DOCKERY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-21",
"last_updated": "2021-03-12",
"certification_date": "2021-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "BP10053053",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "TX",
"license": "R7578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JORDAN",
"last_name": "DOCKERY",
"middle_name": "LEIGH",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.