Active NPI
Jonathan Daniel Pankow, MD
- Nephrology Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- S5041
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 04-39389 | KS | |
| Nephrology Physician | 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
Enrollment records 1
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
Practice addresses (Care Compare)
27700 Northwest Fwy
Suite 350
Cypress, TX 77433-7749
Phone (281) 429-8780
Hospital & facility affiliations
- DaVita Champions Dialysis
- DaVita Barker Cypress Dialysis
- DaVita Jersey Village Dialysis
- DaVita Inwood Dialysis
- Gracias Dialysis
- Houston Methodist Willowbrook Hospital
- HCA Houston Healthcare Kingwood
- Houston Methodist Cypress Hospital
- Memorial Hermann - Texas Medical Center
- St Luke'S Hospital at the Vintage
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.85 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston Kidney Specialists Center PLLC | Single Specialty | Current | 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
- https://api.platform.athenahealth.com/19285/brand/4/csg/1/fhir/r4
- 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.
-
- Nephrology Physician
- Houston, TX
- NPI 1396217162
Single Specialty
-
- Specialist
- Houston, TX
- NPI 1437242617
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Houston, TX
- NPI 1326440512
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Houston, TX
- NPI 1285087189
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Houston, TX
- NPI 1699022913
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Cypress, TX
- NPI 1508373606
Dialysis facility
-
- General Acute Care Hospital
- Kingwood, TX
- NPI 1811942238
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Houston, TX
- NPI 1437189115
Hospital
-
- General Acute Care Hospital
- Houston, TX
- NPI 1982666111
-
- General Acute Care Hospital
- Cypress, TX
- NPI 1629828405
-
- General Acute Care Hospital
- Houston, TX
- NPI 1871619254
-
- General Acute Care Hospital
- Houston, TX
- NPI 1710314141
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.