Jacqueline R Carruthers, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K7429 Issued in TX

Practice address

600 N Sam Houston Pkwy W Ste 650
Houston, TX 77067-4336

Phone

(281) 654-4500

Fax

(281) 654-4501

NPI assigned

Aug 2, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Internal Medicine

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacqueline.carruthers@wellmed.eclinicaldirectplus.com

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.

• Wellmed Medical Group, PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1437156486
  Medicare reassignment Care Compare group NPD
• Shepherd Urgent Care

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1366841371
  NPD (past) Authorized official
• Wellmed Medical Group, P.a.

  • Family Medicine Physician
  • Corpus Christi, TX
  • NPI 1740588243

  Internal Medicine

  NPD
• Airline Complete Healthcare of Texas, LTD,LLP

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1467511972
  NPD (past)
• North Houston Physicians P a

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1225148778
  NPD (past)
• Patient Management Associates, LLC

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1144552035
  NPD (past)
• SJMC Physician Services

  • Specialist
  • Houston, TX
  • NPI 1083975312
  NPD (past)

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1972504967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N SAM HOUSTON PKWY W STE 650",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770674336",
            "telephone_number": "281-654-4500",
            "fax_number": "281-654-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N SAM HOUSTON PKWY W STE 650",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770674336",
            "telephone_number": "281-654-4500",
            "fax_number": "281-654-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRUTHERS",
        "first_name": "JACQUELINE",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K7429",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K7429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152259103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aimee Lauren Carrothers
• Carrow LLC
• Carrs Healing Minds LLC
• George Carrum, MD
• Carruth Center at the Parish School, Inc
• William Carruthers
• Carson Parke
• Carson Parke Residential Treatment Center
• Amanda Carson
• Arch Irwin Carson, M.D., PH.D.

• Internal Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.