Individual provider Active NPI

.Jeffrey Preston Gaitz, M.D.

  • Neurology Physician
  • Houston, TX
National Provider Identifier
1922044510
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
E9070 Issued in TX
Practice address
1740 W 27TH St
#206
Houston, TX 77008-1440
Phone
(713) 861-6555
Fax
(713) 861-4589
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X E9070 TX Primary

Addresses

Primary practice location

1740 W 27TH St
#206
Houston, TX 77008-1440

Mailing address

1740 W 27TH St
#206
Houston, TX 77008-1440
Phone (713) 861-6555

Other identifiers 1

IdentifierTypeStateIssuer
113975001MedicaidTX

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
I20101118000716 TX Practitioner - Neurology 7911198338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Texas Medical Branch at Galveston, 1977
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1740 W 27TH St
Suite 206
Houston, TX 77008-1433
Phone (713) 861-6555

Hospital & facility affiliations

  • St Luke'S Hospital at the Vintage Hospital, Houston, TX, CCN 670075

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E9070TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey P Gaitz Mdpa Neurology CurrentSince Jan 27, 2011 Accepting new patients
Texas Pain Consultants, LLP PastSince Feb 1, 2012 Accepting new patients

Locations

1740 W 27th St
Ste 206
Houston, TX 77008
Phone (713) 426-6200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/957/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1922044510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 W 27TH ST",
            "address_2": "#206",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081440",
            "telephone_number": "713-861-6555",
            "fax_number": "713-861-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W 27TH ST",
            "address_2": "#206",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081440",
            "telephone_number": "713-861-6555",
            "fax_number": "713-861-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAITZ",
        "first_name": ".JEFFREY",
        "middle_name": "PRESTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "E9070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113975001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.