NPIMap

Individual provider Active NPI

Abbas H Jafri, MD

  • Internal Medicine Physician
  • Spring, TX
National Provider Identifier
1891798161
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L5387 Issued in TX
Practice address
415 Woodline Dr
Spring, TX 77386-1977
Phone
(281) 528-4100
Fax
(281) 528-4099
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L5387 TX Primary

Addresses

Primary practice location

415 Woodline Dr
Spring, TX 77386-1977

Mailing address

415 Woodline Dr
Spring, TX 77386-1977
Phone (281) 528-4100

Other identifiers 1

IdentifierTypeStateIssuer
155742301MedicaidTX

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
I20071107000318 TX Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 9436246451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
Un of British Columbia, Faculty of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abbas Jafri MD PAGroup PAC ID 4981792272, 2 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

415 Woodline Dr
Spring, TX 77386-1977
Phone (281) 528-4100

8215 Cypresswood Dr
Spring, TX 77379-7466
Phone (832) 717-0877

Hospital & facility affiliations

  • Theracare Home Health Home health agency, Conroe, TX, CCN 678372
  • Interim Healthcare Home health agency, Pearland, TX, CCN 747159
  • Vitalcaring Group Home health agency, Henderson, TX, CCN 458072
  • Accentcare Home Health of Houston - South, LLC Home health agency, Sugar Land, TX, CCN 679102
  • Doctor'S Choice Home Care Home health agency, Lufkin, TX, CCN 747426
  • Amen Hospice Hospice, Spring, TX, CCN 971574
  • Amen Hospice Huntsville Hospice, Spring, TX, CCN A91640
  • Amen Hospice Cypress Hospice, Spring, TX, CCN A91650
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Aspire Hospital Hospital, Conroe, TX, CCN 670093
  • Huntsville Memorial Hospital Hospital, Huntsville, TX, CCN 450347
  • The Brightpointe Nursing home, Conroe, TX, CCN 676420
  • The Broadmoor at Creekside Park Nursing home, The Woodlands, TX, CCN 676357
  • Park Manor of Conroe Nursing home, Conroe, TX, CCN 675894
  • The Woodlands Nursing and Rehabilitation Center Nursing home, The Woodlands, TX, CCN 455876
  • Ridgewood at the Woodlands Nursing home, The Woodlands, TX, CCN 675739

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Abbas Jafri MD PA CurrentSince May 29, 2007 Accepting new patients
PH Ops of Conroe LLC Past Accepting new patients
Winnie-Stowell Hospital District Past Accepting new patients
Sas Group Inc PastSince Nov 16, 2021 Accepting new patients
Winnie-Stowell Hospital District Past Accepting new patients
Sweeny Hospital District Past Accepting new patients
Memorial Medical Center Past Accepting new patients
Abbas Jafri MD PA Internal Medicine Past Accepting new patients
North Houston Physician Alliance LP Past Accepting new patients
Winnie-Stowell Hospital District Past Accepting new patients

Locations

521 Interstate 45 S
Ste 2B
Huntsville, TX 77340
Phone (281) 528-4100

1120 Medical Plaza Dr
Ste 335
Shenandoah, TX 77380
Phone (281) 364-7300

415 Woodline Dr
Spring, TX 77386
Phone (281) 528-4100

Interoperability endpoints

  • Direct secure messaging: abbas.jafri@abba.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Park Manor of ConroeConroe, TX, CCN 675894 Skilled nursing facility Adp of the SNF Apr 1, 2018
Amen HospiceSpring, TX, CCN 971574 Hospice Contracted Managing Employee
5% Or Greater Direct Ownership Interest (33%)
Corporate Officer (33%)		 Oct 22, 2019
Oct 22, 2019
Oct 22, 2019
Amen Hospice HuntsvilleSpring, TX, CCN A91640 Hospice 5% Or Greater Direct Ownership Interest (50%) Nov 16, 2021
Amen Hospice CypressSpring, TX, CCN A91650 Hospice 5% Or Greater Direct Ownership Interest (50%) Nov 16, 2021

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1891798161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 WOODLINE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861977",
            "telephone_number": "281-528-4100",
            "fax_number": "281-528-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 WOODLINE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861977",
            "telephone_number": "281-528-4100",
            "fax_number": "281-528-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFRI",
        "first_name": "ABBAS",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L5387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155742301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.