JACK PRICE M.D.
NPI 1225118649
Pediatrics - Pediatric Cardiology in Houston, TX

Q: What is Jack Price's NPI number?

The NPI number for Jack Price is 1225118649. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Q: What is Jack Price's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Jack Price was last updated on September 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment

6621 FANNIN ST, MC19345-C, HOUSTON, TX 77030(832) 826-5664(832) 825-1906 Get Directions Write a Review

NPPES record last updated: September 21, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jack Price M.d. NPPES

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

JACK PRICE M.D. (NPI 1225118649) is an individual pediatric cardiology provider in Houston, Texas, licensed in Texas (L6586) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (1994).

NPPES Registry Identity

NPI1225118649

Entity TypeIndividualMale

Primary Taxonomy2080P0202X

Provider Legal NameJACK PRICECredential: M.D.

Location Address6621 FANNIN ST, MC19345-CHouston, TX 77030-2303

Mailing Address6621 Fannin StHouston, TX 77030-2303 · (832) 826-5664 · Fax (832) 825-1906

Phone(832) 826-5664

Fax(832) 825-1906

Sole ProprietorNo

Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1994

Enumeration DateOctober 17, 2006

Last NPPES UpdateSeptember 21, 2007

✔ NPI 1225118649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in TX · L6586

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

6621 FANNIN ST, Houston, TX 77030

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Other Identifiers 3

Medicaid149794301TX

Medicare UPINH57059

Medicare ID-Type Unspecified8677N3

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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

Jack Price M.d. 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 ID8022191972

PECOS Enrollment IDI20080215000071

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.

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.

DR. TAKETO BABA M.D.

Pediatrics (Pediatric Emergency Medicine)