Organization Active NPI

Ali Jahan-Tigh MD PA

  • Family Medicine Physician
  • Baytown, TX
National Provider Identifier
1891944252
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J5356 Issued in TX
Legal business name
ALI JAHAN-TIGH MD PA
Practice address
4310 Garth Rd
Baytown, TX 77521-3114
Phone
(281) 425-6965
Fax
(832) 556-2925
NPI assigned
Sep 10, 2008
Last updated
Sep 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Authorized official

Name
Dr. Geoffrey Ali Jahan-Tigh, MDNPI 1164544227
Title
President
Phone
(281) 425-6965

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X J5356 TX Primary

Addresses

Primary practice location

4310 Garth Rd
Baytown, TX 77521-3114

Mailing address

PO Box 1668
Baytown, TX 77522-1668
Phone (281) 425-6965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110422000205 TX Part B Supplier - Clinic/Group Practice 3678758372 Receives reassigned benefits from 1 practitioner
Practice locations: Baytown, TX

National Provider Directory

National Provider Directory

Locations

2802 Garth Rd
Ste 313
Baytown, TX 77521
Phone (281) 425-6965

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1891944252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1668",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775221668",
            "telephone_number": "281-425-6965",
            "fax_number": "832-556-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213114",
            "telephone_number": "281-425-6965",
            "fax_number": "832-556-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI JAHAN-TIGH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "JAHAN-TIGH",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-425-6965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J5356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.