Active NPI
Jill Ann Taylor, D.O.
- Family Medicine Physician
- Humble, TX
National Provider Identifier
1912012832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 710959498
- Practice address
- 1806 Humble Place Dr
Humble, TX 77338-5277 - Phone
- (281) 359-4220
- Fax
- (281) 359-4208
- NPI assigned
- Aug 20, 2006
- Last updated
- Oct 18, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 710959498 | TX | Primary |
Addresses
Primary practice location
1806 Humble Place Dr
Humble, TX 77338-5277
Mailing address
1806 Humble Place Dr
Humble, TX 77338-5277
Phone (281) 359-4220
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0049DF | Other | TX | BLUE CROSS BLUE SHIELD |
| 8M1980 | Other | TX | BLUE CROSS BLUE SHIELD |
| 2044695 | Other | TX | AETNA |
| 3342691 | Other | TX | BLUE CROSS BLUE SHIELD HM |
| 00462J | Other | TX | MEDICARE PTAN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1806 Humble Place Dr
Humble, TX 77338-5277
Phone (281) 359-4220
5201 Memorial Dr
Unit 529
Houston, TX 77007-8404
Phone (855) 674-5333
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MRG Health Texas PLLC | Current | Accepting new patients | |
| MRG Health Inc. | Current | Accepting new patients |
Locations
1806 Humble Place Dr
Humble, TX 77338
Phone (281) 359-4220
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.
-
- Clinical Informatics Physician
- Houston, TX
- NPI 1013779883
-
- Family Medicine Physician
- Kingwood, TX
- NPI 1659560944
-
- Physiological Laboratory
- Humble, TX
- NPI 1366002255
-
- Clinical Informatics Physician
- Houston, TX
- NPI 1881342947
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Hermann Northeast
- General Acute Care Hospital
- Humble, TX
- NPI 1295843787
-
dba TOPS Surgical Specialty Hospital
- General Acute Care Hospital
- Houston, TX
- NPI 1144203662
-
dba Townsen Memorial Hospital
- General Acute Care Hospital
- Humble, TX
- NPI 1376870840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476748800000",
"number": "1912012832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1806 HUMBLE PLACE DR",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773385277",
"telephone_number": "281-359-4220",
"fax_number": "281-359-4208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1806 HUMBLE PLACE DR",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773385277",
"telephone_number": "281-359-4220",
"fax_number": "281-359-4208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "JILL",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2016-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "710959498",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0049DF",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8M1980",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2044695",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD HM",
"identifier": "3342691",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "00462J",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.