Advanced Internal Medicine of the Woodlands
Organization Active NPI Internal Medicine Physician · The Woodlands, TX
NPI 1972829042 · NPPES record last updated Jul 8, 2025
Key facts
- NPI
- 1972829042
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- N0129 (TX)
- Legal business name
- ADVANCED INTERNAL MEDICINE OF THE WOODLANDS
- Practice address
- 3115 College Park Dr Ste 112
The Woodlands, TX 77384-4001 - Phone
- (281) 836-3627
- NPI assigned
- Apr 14, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Mamta Jain, M.D.
- Title
- President
- Phone
- (281) 836-3627
Practitioners 1
-
Mamta Jain, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101215000530 | TX | Part B Supplier - Clinic/Group Practice | 5890982953 |
Receives reassigned benefits from 1 practitioner Practice locations: The Woodlands, TX |
National Provider Directory
Locations
17198 St Lukes Way
Ste 450
The Woodlands, TX 77384
Phone (936) 271-5400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | N0129 | TX | Yes |
Addresses
Primary practice location
3115 College Park Dr Ste 112
The Woodlands, TX 77384-4001
Mailing address
3115 College Park Dr Ste 112
The Woodlands, TX 77384-4001
Phone (281) 836-3627
Other providers in The Woodlands, TX
- Adult & Pediatric Hearing AIDS & Audiology of the Woodlands, PLLC
- Advanced Gastroenterology Center PA
- Advanced Health & Diagnostic Partners
- Advanced Implant and Periodontal Professionals PA
- Advanced Integrative Healthcare
- Advanced Invasive Pain Management of Houston
- Advanced Invasive Pain Management of Houston, PA
- Advanced Invasive Pain Management of Houston, PA
- Advanced Medical Specialists, PLLC
- Advanced Podiatry Group, P. a.
All providers in The Woodlands, TX · Internal Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.