Jonathan T Jan, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

Q7717 Issued in TX

Practice address

400 S Loop 336 W
Conroe, TX 77304-3302

Phone

(936) 539-4500

Fax

(936) 539-4050

NPI assigned

May 22, 2012

Last updated

Jan 13, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Ophthalmology

Education

Texas a & M University System, HSC, College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dejean and Kuglen Eye Associates LLPGroup PAC ID 8527041128, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Houston Methodist Hospital Hospital, Houston, TX, CCN 450358

Merit-based Incentive Payment System (MIPS)

Final score

90.63 of 100Reported as group

Quality

95.33

Improvement activities

40

Cost

74.98

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jjan@averyeye.emadirect.md

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.

• Dejean & Kuglen Eye Associates LLP

  dba Avery Eye Clinic

  • Ophthalmology Physician
  • Conroe, TX
  • NPI 1952322067
  Medicare reassignment Care Compare group NPD
• University of Texas Southwestern Medical Center at Dallas

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1942270566
  Medicare reassignment NPD
• Dejean & Kuglen Eye Associates, LLP

  dba Avery Optical

  • Durable Medical Equipment & Medical Supplies
  • Huntsville, TX
  • NPI 1003523887
  NPD
• The University of Texas Southwestern Medical Center at Dallas

  • Clinical Medical Laboratory
  • Dallas, TX
  • NPI 1396832713
  NPD
• University of Texas Southwestern Medical Center at Dallas

  • Ophthalmology Physician
  • Fort Worth, TX
  • NPI 1225082050
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Methodist Hospital

  dba Houston Methodist Hospital

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1548387418
  Care Compare affiliation

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1952661118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S LOOP 336 W",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043302",
            "telephone_number": "936-539-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S LOOP 336 W",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043302",
            "telephone_number": "936-539-4500",
            "fax_number": "936-539-4050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3361 Montgomery Rd",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "TX",
            "postal_code": "773406416",
            "country_code": "US",
            "telephone_number": "936-539-4500",
            "fax_number": "936-539-4050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "129 Vision Park Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773843024",
            "country_code": "US",
            "telephone_number": "936-539-4500",
            "fax_number": "936-539-4050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAN",
        "first_name": "JONATHAN",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-22",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME132573",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "Q7717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Filza Jalees
• Muhammad Hashir Jamal
• James Westmoreland, M.D. PA
• Deirdre James, LMFT
• Kathleen M James, LCSW
• Kristy Lynn Janak
• Boonjira Jankhiew
• Jars Dental Care, PLLC
• Fahad Javed, M.D.,
• Anuja Jeyamany Jayachandran

• Ophthalmology Physician in Conroe, TX
• Providers in Conroe, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.

Verify at the official NPI Registry.