Active NPI
Jesus Casas, M.D.
- Internal Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- T1031
- Practice address
- 4414 North Fwy Ste 300
Houston, TX 77022-3657 - Phone
- (713) 589-8643
- NPI assigned
- Jun 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036.117795 | IL | |
| Internal Medicine Physician | 207R00000X | 70397 | WI | |
| Internal Medicine Physician | 207R00000X | T1031 | TX | Primary |
Addresses
Primary practice location
4414 North Fwy Ste 300
Houston, TX 77022-3657
Mailing address
101 Tremont St FL 6
Boston, MA 02108-5004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100085307 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1185 Corporate Ctr Dr
Suite 175
Oconomowoc, WI 53066-4889
Phone (262) 928-8400
Hospital & facility affiliations
- Prohealth Home Care
- Waukesha Memorial Hospital
- Oconomowoc Memorial Hospital
- Fort Memorial Hospital
- Shorehaven HLTH & Rehab CTR
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.117795 | IL | MD | Internal Medicine Physician |
| 70397 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Iora Health Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Prohealth Medical Group Inc. | Internal Medicine | Current | Accepting new patients |
| PMR Illinois Holding, LLC | Current | Accepting new patients | |
| Prohealth Medical Group Inc | Internal Medicine | Past | Accepting new patients |
Locations
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
6326 Cermak Rd
Berwyn, IL 60402
Phone (708) 303-9234
2734 W 87th St
Chicago, IL 60652
Phone (773) 918-4700
2231 E 95th St
Chicago, IL 60617
Phone (773) 768-7700
19310 S Halsted St
Glenwood, IL 60425
Phone (708) 300-3132
6101 W 95th St
Oak Lawn, IL 60453
Phone (708) 261-0831
101 Tremont St
Fl 6
Boston, MA 02108
9440A Highway 6 S
#One
Houston, TX 77083
Phone (281) 408-4488
4414 North Fwy
Ste 300
Houston, TX 77022
Phone (713) 589-8643
9440A Highway 6 S
Houston, TX 77083
Phone (281) 408-4488
1185 Corporate Center Dr
Ste 175
Oconomowoc, WI 53066
Phone (262) 928-6236
N14W23900 Stone Ridge Dr
Waukesha, WI 53188
Phone (262) 549-3030
N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093
725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011
Interoperability endpoints
- jcasas157688@direct.phci.org
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Houston, TX
- NPI 1912566514
-
- Specialist
- Miami Gardens, FL
- NPI 1770038671
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Atkinson, WI
- NPI 1811916281
-
- Skilled Nursing Facility
- Oconomowoc, WI
- NPI 1508852708
Nursing home
-
- Home Health Agency
- Waukesha, WI
- NPI 1497720767
-
- General Acute Care Hospital
- Oconomowoc, WI
- NPI 1366420531
-
- Community/Retail Pharmacy
- Oconomowoc, WI
- NPI 1497942205
Hospital
-
- General Acute Care Hospital
- Waukesha, WI
- NPI 1629056890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624492800000",
"number": "1902008196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 TREMONT ST FL 6",
"city": "BOSTON",
"state": "MA",
"postal_code": "021085004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4414 NORTH FWY STE 300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770223657",
"telephone_number": "713-589-8643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASAS",
"first_name": "JESUS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-01",
"last_updated": "2021-06-24",
"certification_date": "2021-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036.117795",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "70397",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "T1031",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100085307",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.