Individual provider Active NPI

John R. Temple Jr., M.D.

  • Emergency Medicine Physician
  • Kingwood, TX
National Provider Identifier
1891729315
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
H4743 Issued in TX
Practice address
23330 Eastex Fwy
Kingwood, TX 77339-4471
Phone
(832) 777-6165
NPI assigned
Jul 10, 2006
Last updated
Jul 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X H4743 TX Primary

Addresses

Primary practice location

23330 Eastex Fwy
Kingwood, TX 77339-4471

Mailing address

40517 Roundup Rd
Magnolia, TX 77354-4644
Phone (281) 468-8379

Other identifiers 3

IdentifierTypeStateIssuer
8F9290OtherTXBCBSTX
131909714MedicaidTX
1891729315OtherTXTRICARE SOUTH

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
I20051130000248 TX Practitioner - Emergency MedicinePractitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 8022038488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: General Surgery, Plastic and Reconstructive Surgery
Education
Texas Tech University Health Science Center School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kingwood Physician Group PLLCGroup PAC ID 4183099005, 9 clinicians

Practice addresses (Care Compare)

23330 Hwy 59 N
Kingwood, TX 77339-4471
Phone (832) 777-6165

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kingwood Physician Group PLLC Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
North Houston Emergency Physicians Association Emergency Medicine Past Accepting new patients
Greater Houston Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Cleveland Emergency Group PA Emergency Medicine Past Accepting new patients

Locations

23330 Highway 59 N
Kingwood, TX 77339
Phone (832) 653-3200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1891729315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40517 ROUNDUP RD",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773544644",
            "telephone_number": "281-468-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23330 EASTEX FWY",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394471",
            "telephone_number": "832-777-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLE",
        "first_name": "JOHN",
        "middle_name": "R.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "H4743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8F9290",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131909714",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "1891729315",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.