Individual provider Active NPI

Jonathan Daniel Pankow, MD

  • Nephrology Physician
  • Houston, TX
National Provider Identifier
1962817783
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
S5041 Issued in TX
Practice address
13656 Breton Ridge St # Ah
Houston, TX 77070-6081
Phone
(281) 429-8780
Fax
(281) 763-7930
NPI assigned
Jul 1, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04-39389 KS
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X S5041 TX Primary

Addresses

Primary practice location

13656 Breton Ridge St # Ah
Houston, TX 77070-6081

Mailing address

13656 Breton Ridge St # Ah
Houston, TX 77070-6081
Phone (281) 429-8780

Other practice location 1

6431 Fannin St Ste Jjl 310
Houston, TX 77030-1501
Phone (713) 500-5151

Other practice location 2

929 N Saint Francis St
Wichita, KS 67214-3821
Phone (316) 268-5000

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
I20200408003042 TX Practitioner - Internal Medicine 6002033503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Houston Kidney Specialists Center PLLCGroup PAC ID 3678811445, 10 clinicians

Practice addresses (Care Compare)

27700 Northwest Fwy
Suite 350
Cypress, TX 77433-7749
Phone (281) 429-8780

Hospital & facility affiliations

  • DaVita Champions Dialysis Dialysis facility, Houston, TX, CCN 672676
  • DaVita Barker Cypress Dialysis Dialysis facility, Cypress, TX, CCN 672896
  • DaVita Jersey Village Dialysis Dialysis facility, Houston, TX, CCN 672781
  • DaVita Inwood Dialysis Dialysis facility, Houston, TX, CCN 672857
  • Gracias Dialysis Dialysis facility, Houston, TX, CCN 672529
  • Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844
  • HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775
  • Houston Methodist Cypress Hospital Hospital, Cypress, TX, CCN 670342
  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068
  • St Luke'S Hospital at the Vintage Hospital, Houston, TX, CCN 670075

Merit-based Incentive Payment System (MIPS)

Final score
99.85 of 100Reported as individual
Quality
91.36
Promoting interoperability
95
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Kidney Specialists Center PLLC Single Specialty CurrentSince Jun 1, 2020 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

2149 E Warner Rd
Ste 102
Tempe, AZ 85284
Phone (623) 247-0808

21212 Northwest Fwy
Ste 205
Cypress, TX 77429
Phone (216) 702-4535

27700 NW Freeway
Ste 350
Cypress, TX 77433
Phone (281) 429-8780

10242 Greenhouse Rd
Ste 1101
Cypress, TX 77433
Phone (281) 429-8780

10425 Huffmeister Rd
Ste 240
Houston, TX 77065
Phone (281) 429-8780

13656 Breton Ridge St
Ste A
Houston, TX 77070
Phone (281) 429-8780

13656 Breton Ridge St
Houston, TX 77070
Phone (281) 205-5100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19285/brand/4/csg/1/fhir/r4
  • Direct secure messaging: jonathan.pankow.1@19285.direct.athenahealth.com

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 10

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": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1962817783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13656 BRETON RIDGE ST # AH",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770706081",
            "telephone_number": "281-429-8780",
            "fax_number": "281-763-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13656 BRETON RIDGE ST # AH",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770706081",
            "telephone_number": "281-429-8780",
            "fax_number": "281-763-7930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6431 Fannin St Ste Jjl 310",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301501",
            "country_code": "US",
            "telephone_number": "713-500-5151",
            "fax_number": "713-500-0612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "929 N Saint Francis St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672143821",
            "country_code": "US",
            "telephone_number": "316-268-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANKOW",
        "first_name": "JONATHAN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-01",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-39389",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "S5041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.