JISHA TOM NP
NPI 1205478427
Nurse Practitioner - Gerontology in Houston, TX
About Jisha Tom Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JISHA TOM NP (NPI 1205478427) is an individual gerontology provider in Houston, Texas, licensed in Texas (AP141184) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jisha Tom Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOUSTON, TX 77030
HOUSTON, TX 77030
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 Jisha Tom's NPI number?
The NPI number for Jisha Tom is 1205478427. It was assigned to this individual provider in the NPPES registry on October 9, 2019. The provider is also known as Jisha Mathews Np.
Where is Jisha Tom located?
Jisha Tom practices at 1515 Holcombe Blvd, Houston, TX 77030. The listed phone number is (713) 792-6161.
What is Jisha Tom's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Jisha Tom enrolled in Medicare?
Yes. Jisha Tom is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jisha Tom was last updated on February 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Jisha Tom, NP · NPI 1205478427
Gerontology physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since October 9, 2019.
## Identity
- **NPI:** 1205478427 (Entity type: Individual)
- **Enumerated:** October 9, 2019
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** AP141184 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1515 HOLCOMBE BLVD, Houston, TX 77030-4000
- **Phone:** (713) 792-6161
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 10, 2020
- **Other identifiers:** Other 8LZ698 (TX); Medicaid 405838001 (TX); Other 405838002 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1205478427) · Data from the CMS NPPES public registry.