Individual provider Active NPI

Jane Fang, M.D.

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1891170890
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
S7645 Issued in TX
Practice address
7001 Corporate Dr Ste 120
Houston, TX 77036-5113
Phone
(713) 773-0803
NPI assigned
Jul 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A77614 CA
Pediatric Gastroenterology Physician 2080P0206X S7645 TX
Pediatrics Physician 208000000X S7645 TX Primary

Addresses

Primary practice location

7001 Corporate Dr Ste 120
Houston, TX 77036-5113

Mailing address

7001 Corporate Dr Ste 120
Houston, TX 77036-5113

Other practice location 1

1215 E Chapman Ave
Orange, CA 92866-2237
Phone (714) 633-4600

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
I20230228000227 TX Practitioner - Pediatric MedicinePractitioner - Gastroenterology 4587037254 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A77614CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asian American Health Coalition of the Greater Houston Area Current Accepting new patients
Asian American Health Coalition of the Greater Houston Area CurrentSince Mar 1, 2023 Accepting new patients
Asian American Health Coalition of the Greater Houston Area CurrentSince Mar 1, 2023 Accepting new patients
Asian American Health Coalition of the Greater Houston Area Current Accepting new patients

Locations

7001 Corporate Dr
Ste 120
Houston, TX 77036
Phone (713) 333-7273

13930 Bellaire Blvd
Houston, TX 77083
Phone (713) 333-7273

Interoperability endpoints

  • Direct secure messaging: jane.fang.1@15235.direct.athenahealth.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1891170890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 CORPORATE DR STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770365113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 CORPORATE DR STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770365113",
            "telephone_number": "713-773-0803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 E Chapman Ave",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928662237",
            "country_code": "US",
            "telephone_number": "714-633-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANG",
        "first_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A77614",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "TX",
            "license": "S7645",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S7645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.