Individual provider Active NPI

Job Mongare, M.D.

  • Neurology Physician
  • Athens, TX
National Provider Identifier
1962463869
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
K8954 Issued in TX
Practice address
113 N Murchison St
Athens, TX 75751-2109
Phone
(903) 677-6006
Fax
(903) 677-9006
NPI assigned
Mar 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X K8954 TX
Neurology Physician 2084N0400X K8954 TX Primary

Addresses

Primary practice location

113 N Murchison St
Athens, TX 75751-2109

Mailing address

113 N Murchison St
Athens, TX 75751-2109
Phone (903) 677-6006

Other practice location 1

115 Medical Cir
Suite 102
Athens, TX 75751-9003
Phone (903) 677-6006

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
I20040503000507 TX Practitioner - NeurologyPractitioner - Emergency Medicine 7911995782 Practice locations: Athens, TX

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Emergency Medicine
Education
University of Texas Medical School at Houston, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

113 N Murchison St
Athens, TX 75751-2109
Phone (903) 677-5006

Hospital & facility affiliations

  • Ut Health East Texas Athens Hospital Hospital, Athens, TX, CCN 450389
  • Ut Health East Texas Tyler Regional Hospital Hospital, Tyler, TX, CCN 450083
  • Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102
  • Ut Health East Texas Jacksonville Hospital Hospital, Jacksonville, TX, CCN 450194
  • University of Texas Health Science Center at Tyler Hospital, Tyler, TX, CCN 450690
  • Ut Health East Texas Rehabilitation Hospital Inpatient rehabilitation facility, Tyler, TX, CCN 453072

Merit-based Incentive Payment System (MIPS)

Final score
94.16 of 100Reported as individual
Quality
85
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy194

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K8954TXMDNeurology Physician
0000000TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Job B Mongare, MD Specialist CurrentSince Mar 12, 2011 Accepting new patients
Eastland Memorial Hospital District Past Accepting new patients
Bellville Medical Center PastSince Aug 6, 2019 Accepting new patients
Eastland Memorial Hospital District Past Accepting new patients
Bellville Hospital District Emergency Medicine Past Accepting new patients

Locations

115 Medical Cir
Ste 102
Athens, TX 75751
Phone (903) 676-5889

113 N Murchison St
Athens, TX 75751
Phone (903) 677-5006

Interoperability endpoints

  • Direct secure messaging: job.mongare@3542.securemail.prognocis.com
  • Direct secure messaging: jmongare355523@ahs.direct-ci.com

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.

Hospital & facility affiliations 6

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1962463869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N MURCHISON ST",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757512109",
            "telephone_number": "903-677-6006",
            "fax_number": "903-677-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N MURCHISON ST",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757512109",
            "telephone_number": "903-677-6006",
            "fax_number": "903-677-9006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Medical Cir",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TX",
            "postal_code": "757519003",
            "country_code": "US",
            "telephone_number": "903-677-6006",
            "fax_number": "903-677-9006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONGARE",
        "first_name": "JOB",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K8954",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "K8954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TX

Sources for this page

Verify at the official NPI Registry.