Individual provider Active NPI

Jonathan Andrew Tull, M.D

  • Emergency Medicine Physician
  • Houston, TX
National Provider Identifier
1982042636
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
Q7973 Issued in TX
Practice address
1515 Holcombe Blvd
Houston, TX 77030-4000
Phone
(713) 792-6161
NPI assigned
Jun 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X Q7973 TX Primary

Addresses

Primary practice location

1515 Holcombe Blvd
Houston, TX 77030-4000

Mailing address

PO Box 4439
Houston, TX 77210-4439
Phone (713) 792-2991

Other identifiers 2

IdentifierTypeStateIssuer
359789025MedicaidTX
359789026OtherTXOTHER (MEDICAID CSHCN)

Other names 1

  • Jon Tull Other name

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
I20160725002716 TX Practitioner - Emergency Medicine 6406149749 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q7973TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Emergency Medicine Associates PA Emergency Medicine CurrentSince Apr 20, 2021 Accepting new patients
Navarro Emergency Physicians PLLC Emergency Medicine CurrentSince Sep 20, 2017 Accepting new patients
Sound Physicians Emergency Medicine of Texas PLLC Emergency Medicine CurrentSince Feb 16, 2018 Accepting new patients
Memorial Hermann Hospital Based Physician Group Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Brewster Emergency Medicine Associates PA Emergency Medicine CurrentSince Sep 20, 2017 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince May 1, 2018 Accepting new patients
Singleton Associates PA Past Accepting new patients

Locations (25 of 33)

2600 N State Highway 118
Alpine, TX 79830
Phone (432) 837-0430

2860 S Gordon St
Alvin, TX 77511
Phone (218) 968-7500

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

27800 NW Freeway
Cypress, TX 77433
Phone (346) 231-4000

2744 W University Dr
Edinburg, TX 78539
Phone (956) 380-8080

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

1313 Hermann Dr
Houston, TX 77004
Phone (713) 527-5000

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439

6191 E Sam Houston Pkwy N
#B
Houston, TX 77049
Phone (713) 295-5300

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

2555 Gulf Fwy S
#C1100
League City, TX 77573

2555 Gulf Fwy S
League City, TX 77573
Phone (832) 932-9850

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

101 E Ridge Rd
McAllen, TX 78503
Phone (956) 632-6000

5100 W Expressway 83
McAllen, TX 78501
Phone (956) 928-7200

4000 Spencer Hwy
Pasadena, TX 77504
Phone (713) 359-1000

6002 Fairmont Pkwy
Pasadena, TX 77505
Phone (713) 359-2100

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

2906 Broadway St
Pearland, TX 77581
Phone (713) 431-0575

8801 9th Ave
Port Arthur, TX 77642
Phone (409) 299-3214

3600 Gates Blvd
Port Arthur, TX 77642
Phone (409) 985-7431

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1982042636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4439",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104439",
            "telephone_number": "713-792-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 HOLCOMBE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304000",
            "telephone_number": "713-792-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULL",
        "first_name": "JONATHAN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-04",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q7973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "359789025",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER (MEDICAID CSHCN)",
            "identifier": "359789026",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JON",
            "last_name": "TULL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.