Individual provider Active NPI

Jantzen Deandre Thorns I, M.D.

  • Surgery Physician
  • Houston, TX
National Provider Identifier
1972881100
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
R0511 Issued in TX
Practice address
20207 Chasewood Park Dr
Houston, TX 77070-1441
Phone
(832) 534-7600
NPI assigned
Jul 21, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X R0511 TX Primary

Addresses

Primary practice location

20207 Chasewood Park Dr
Houston, TX 77070-1441

Mailing address

20207 Chasewood Park Dr Ste 305
Houston, TX 77070-1442
Phone (832) 534-7600

Other practice location 1

17218 Preston Rd Ste 2000
Dallas, TX 75252-4018
Phone (877) 866-7123

Other practice location 2

455 School St Ste 10
Tomball, TX 77375
Phone (281) 351-5409

Other identifiers 1

IdentifierTypeStateIssuer
364955002MedicaidTX

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
I20161102000281 TX Practitioner - General SurgeryPractitioner - Family PracticePractitioner - Peripheral Vascular Disease 8527219054 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Medical School at San Antonio, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor St. Luke'S Medical GroupGroup PAC ID 9133213192, 172 clinicians

Practice addresses (Care Compare)

17400 St Luke'S Way
The Woodlands, TX 77384-8036
Phone (932) 266-9000

Hospital & facility affiliations

  • St Luke'S the Woodlands Hospital Hospital, The Woodlands, TX, CCN 450862
  • St Luke'S Hospital at the Vintage Hospital, Houston, TX, CCN 670075

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue281
Removal of skin lesions16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Advanced Specialty Center LL LTD., L.L.P. Surgery CurrentSince Oct 14, 2016 Accepting new patients
Vohra Post Acute Care Physicians of Texas, PLLC CurrentSince Aug 20, 2018 Accepting new patients
Baylor St. Luke'S Medical Group CurrentSince Jun 6, 2024 Accepting new patients

Locations

1201 Clarks Dr
Abilene, TX 79602
Phone (325) 670-9185

3830 Mustang Rd
Alvin, TX 77511
Phone (281) 585-8484

401 W Arbrook Blvd
Arlington, TX 76014
Phone (817) 466-3094

5800 W Baker Rd
Baytown, TX 77520
Phone (281) 424-4541

2660 Brickyard Rd
Beaumont, TX 77703
Phone (406) 892-1533

17218 Preston Rd
Ste 2000
Dallas, TX 75252
Phone (469) 518-8472

1500 Sunset Dr
Friendswood, TX 77546
Phone (281) 922-4300

1 Baylor Plz
#2
Houston, TX 77030

20207 Chasewood Park Dr
Ste 300
Houston, TX 77070
Phone (832) 534-7800

20207 Chasewood Park Dr
Ste 305
Houston, TX 77070
Phone (832) 534-7600

545 E John Carpenter Fwy
Ste 300
Irving, TX 75062
Phone (214) 356-8072

17198 St Lukes Way
Ste 440
The Woodlands, TX 77384
Phone (936) 266-2500

17400 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-4055

455 School St
Ste 10
Tomball, TX 77375
Phone (281) 351-5409

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA
  • Direct secure messaging: jantzen.thorns.1@16739.direct.athenahealth.com

Organizations & group practices 3

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 2

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": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1972881100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20207 CHASEWOOD PARK DR STE 305",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701442",
            "telephone_number": "832-534-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20207 CHASEWOOD PARK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701441",
            "telephone_number": "832-534-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17218 Preston Rd Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752524018",
            "country_code": "US",
            "telephone_number": "877-866-7123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 School St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Tomball",
            "state": "TX",
            "postal_code": "77375",
            "country_code": "US",
            "telephone_number": "281-351-5409",
            "fax_number": "281-351-2803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORNS",
        "first_name": "JANTZEN",
        "middle_name": "DEANDRE",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-21",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "R0511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364955002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.