Individual provider Active NPI

Juliette Anne Depue, DO

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1952594616
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N5012 Issued in TX
Practice address
2405 S Gessner Rd
Suite B
Houston, TX 77063-2000
Phone
(713) 266-7673
Fax
(713) 266-4744
NPI assigned
Aug 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N5012 TX Primary

Addresses

Primary practice location

2405 S Gessner Rd
Suite B
Houston, TX 77063-2000

Mailing address

2405 S Gessner Rd
Suite B
Houston, TX 77063-2000
Phone (713) 266-7673

Other identifiers 2

IdentifierTypeStateIssuer
L0171487OtherTXDPS
214971801MedicaidTX

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
I20100916001258 TX Practitioner - Family Practice 3971628777 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

20675 FM 1093 Rd
Richmond, TX 77407-7778
Phone (346) 646-3525

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N5012TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wang&Jiang, MD, PA Family Medicine CurrentSince Feb 28, 2015 Accepting new patients
Village Family Practice, L.L.P Family Medicine CurrentSince Nov 10, 2021 Accepting new patients
Villagemd of Southeast Texas, PA Family Medicine CurrentSince Nov 10, 2021 Accepting new patients
Dairy Ashford Family Practice Associates, P.a. PastSince Feb 28, 2015 Accepting new patients

Locations

9999 Bellaire Blvd
Ste 370
Houston, TX 77036
Phone (713) 270-0909

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

1500 S Dairy Ashford Rd
Ste 198
Houston, TX 77077
Phone (281) 759-0200

20675 FM 1093 Rd
Ste A
Richmond, TX 77407
Phone (346) 646-3525

20675 FM 1093 Rd
Richmond, TX 77407
Phone (281) 239-3772

Interoperability endpoints

  • Direct secure messaging: juliette.depue.1@13711.direct.athenahealth.com
  • Direct secure messaging: juliette.depue@dnd.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1952594616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 S GESSNER RD",
            "address_2": "SUITE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632000",
            "telephone_number": "713-266-7673",
            "fax_number": "713-266-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 S GESSNER RD",
            "address_2": "SUITE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632000",
            "telephone_number": "713-266-7673",
            "fax_number": "713-266-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPUE",
        "first_name": "JULIETTE",
        "middle_name": "ANNE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N5012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "L0171487",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214971801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.