DONNA JOSE
NPI 1093169831
Internal Medicine - Rheumatology in Houston, TX

Active since April 18, 2016PECOS EnrolledAccepts Medicare Assignment
18123 UPPER BAY RD STE 400, HOUSTON, TX 77058(281) 523-3270 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 22, 2023, Jan 31, 2023, Jun 8, 2021 (3 updates tracked since 2021).

About Donna Jose NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DONNA JOSE (NPI 1093169831) is an individual rheumatology provider in Houston, Texas, licensed in Texas (U0785) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of Michigan State University College Of Human Medicine (2016).

NPPES Registry Identity

NPI1093169831
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDONNA JOSE
Location Address18123 UPPER BAY RD STE 400Houston, TX 77058-3875
Mailing Address18123 Upper Bay Rd Ste 400Houston, TX 77058-3875 · (281) 523-3270
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2016
Enumeration DateApril 18, 2016
Last NPPES UpdateJune 22, 20233 updates tracked since enumeration
NPPES CertifiedJune 22, 2023
NPI 1093169831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses Licensed in TX · U0785 Licensed in CA · A150877
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
18123 UPPER BAY RD STE 400, Houston, TX 77058

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Donna Jose is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082017645
PECOS Enrollment IDI20230201002208
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, romosozumab-aqqg, 1 mg J3111
Romosozumab-aqqg is a medication given by injection to treat osteoporosis in patients at high risk for fractures. It works by increasing bone mass and strength, reducing the risk of fractures.
10,920 services13 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,620 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
254 services139 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
81 services34 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
71 services71 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
67 services46 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Houston Methodist Baytown Hospital

Acute Care Hospitals · Baytown, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450424
Location4401 Garth RoadBaytown, TX 77521 · Harris County
Emergency services Birthing friendly

Hca Houston Healthcare Clear Lake

Acute Care Hospitals · Webster, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450617
Location500 W Medical Center BlvdWebster, TX 77598 · Harris County
Emergency services Birthing friendly

Houston Methodist Clear Lake Hospital

Acute Care Hospitals · Nassau Bay, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450709
Location18300 Houston Methodist DrNassau Bay, TX 77058 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77058 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
18123 UPPER BAY RD STE 400
HOUSTON, TX 77058
Internal Medicine (Gastroenterology)
18123 UPPER BAY RD STE 400
HOUSTON, TX 77058
Physician Assistant
18123 UPPER BAY RD STE 400
HOUSTON, TX 77058
Neurological Surgery
18123 UPPER BAY RD STE 400
HOUSTON, TX 77058
Internal Medicine (Endocrinology, Diabetes & Metabolism)
18123 UPPER BAY RD STE 400
HOUSTON, TX 77058
Surgery
18123 UPPER BAY RD STE 400
HOUSTON, TX 77058
Internal Medicine (Gastroenterology)
18123 UPPER BAY RD STE 400
HOUSTON, TX 77058
Internal Medicine (Gastroenterology)
18123 UPPER BAY RD STE 400
HOUSTON, TX 77058

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donna Jose's NPI number?

The NPI number for Donna Jose is 1093169831. It was assigned to this individual provider in the NPPES registry on April 18, 2016.

Where is Donna Jose located?

Donna Jose practices at 18123 Upper Bay Rd Ste 400, Houston, TX 77058. The listed phone number is (281) 523-3270.

What is Donna Jose's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Donna Jose enrolled in Medicare?

Yes. Donna Jose is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Donna Jose accept?

Health plans from Community Health Choice, Molina Healthcare and WellPoint list Donna Jose as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Donna Jose affiliated with any hospitals?

According to CMS data, Donna Jose is affiliated with Houston Methodist Hospital, Houston Methodist Baytown Hospital, Hca Houston Healthcare Clear Lake and Houston Methodist Clear Lake Hospital.

When was this NPI record last updated?

The NPPES record for Donna Jose was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.