NPIMap

Individual provider Active NPI

Jinwoo Jung, MD

  • Nephrology Physician
  • Houston, TX
National Provider Identifier
1871028977
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
T5353 Issued in TX
Practice address
7500 Beechnut St Ste 262
Houston, TX 77074-4311
Phone
(832) 767-1091
Fax
(281) 783-6918
NPI assigned
Apr 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X T5353 TX Primary

Addresses

Primary practice location

7500 Beechnut St Ste 262
Houston, TX 77074-4311

Mailing address

7500 Beechnut St Ste 262
Houston, TX 77074-4311
Phone (832) 767-1091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220801003224 TX Practitioner - NephrologyPractitioner - Internal Medicine 5193107563 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samir Sahai MD PLLCGroup PAC ID 1850517327, 4 clinicians

Practice addresses (Care Compare)

Houston, TX 77074
Phone (713) 426-9171

7500 Beechnut St
Suite 262
Houston, TX 77074-4311
Phone (832) 767-1091

Hospital & facility affiliations

  • DaVita Houston Dialysis Dialysis facility, Houston, TX, CCN 452584
  • USRC Meadows Place Dialysis Dialysis facility, Missouri City, TX, CCN 672867
  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
JP Nephrology Nephrology CurrentSince Jan 1, 2024 Accepting new patients
Trung Trent Luong, M.D., P.a. Nephrology CurrentSince Sep 1, 2022 Accepting new patients
Samir Sahai, MD, PLLC Nephrology CurrentSince Jun 30, 2022 Accepting new patients

Locations

1333 Moursund St
Houston, TX 77030
Phone (713) 797-5912

7500 Beechnut St
Ste 262
Houston, TX 77074
Phone (713) 426-9171

2121 Business Center Dr
Pearland, TX 77584
Phone (346) 200-8849

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Interoperability endpoints

  • Direct secure messaging: jinwoo.jung@ssmp.eclinicaldirectplus.com
  • Direct secure messaging: jjung110463@direct.phhs.org

Organizations & group practices 3

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.

Hospital & facility affiliations 9

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": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1871028977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 BEECHNUT ST STE 262",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770744311",
            "telephone_number": "832-767-1091",
            "fax_number": "281-783-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 BEECHNUT ST STE 262",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770744311",
            "telephone_number": "832-767-1091",
            "fax_number": "281-783-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "JINWOO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-26",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "T5353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.