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PRASUN K. JALAL M.D.
NPI 1265620462
Internal Medicine - Transplant Hepatology in Houston, TX

Active since October 12, 2007PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
6620 MAIN ST, SUITE 1475, HOUSTON, TX 77030(713) 798-8100(713) 798-4530 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prasun K. Jalal M.d. NPPES

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

PRASUN K. JALAL M.D. (NPI 1265620462) is an individual transplant hepatology provider in Houston, Texas, licensed in Texas (M8732) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1265620462
Entity TypeIndividualMale
Primary Taxonomy207RT0003X
Provider Legal NamePRASUN K. JALALCredential: M.D.
Location Address6620 MAIN ST, SUITE 1475Houston, TX 77030-2348
Mailing Address2 Greenway Plz, Suite 910Houston, TX 77046-0297 · (713) 798-1750 · Fax (713) 798-1144
Phone(713) 798-8100
Fax(713) 798-4530
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateOctober 12, 2007
Last NPPES UpdateMarch 9, 2023
NPPES CertifiedMarch 9, 2023
✔ NPI 1265620462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal Medicine · Transplant HepatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RT0003X
License✔ Licensed in TX · M8732
Definition
An internist with special knowledge and the skill required of a gastroenterologist to care for patients prior to and following hepatic transplantation that spans all phases of liver transplantation. Selection of appropriate recipients requires assessment by a team having experience in evaluating the severity and prognosis of patients with liver disease.
Also ListedInternal MedicineTaxonomy 207R00000X · License M8732 (TX)
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License M8732 (TX)
Also ListedInternal Medicine · HepatologyTaxonomy 207RI0008X · License M8732 (TX)
Also ListedSurgeryTaxonomy 208600000X · License M8732 (TX)
6620 MAIN ST, Houston, TX 77030
Open in Google Maps ↗

Other Identifiers 1

Medicaid197128501TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Prasun K. Jalal 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 ID6507949583
PECOS Enrollment IDI20080214000118
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
56 services28 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.
43 services33 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.
27 services27 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services23 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
23 services16 patients

Hospital Affiliations CMS Care Compare

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

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450193
Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

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. SRIKANTH KONERU M.D., CARDIOLOGY
Internal Medicine (Cardiovascular Disease)
6620 MAIN ST
HOUSTON, TX 77030
Harris County (713) 798-1000
BAYLOR COLLEGE OF MEDICINE
Orthopaedic Surgery
6620 MAIN ST, SUITE 1325
HOUSTON, TX 77030
Harris County (713) 986-6024
GUILHERME GODOY MD
Urology
6620 MAIN ST, SUITE 1325, MS BCM380
HOUSTON, TX 77030
Harris County (713) 798-5628
JOHN FARMER MD
Internal Medicine (Cardiovascular Disease)
6620 MAIN ST
HOUSTON, TX 77030
Harris County (713) 798-2545
KJERSTI MARIE AAGAARD-TILLERY MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
6620 MAIN ST, SUITE 1450
HOUSTON, TX 77030
Harris County (713) 798-7500
DR. RONALD TIMOTHY COTTON MD
Transplant Surgery
6620 MAIN ST, SUITE 1450
HOUSTON, TX 77030
Harris County (832) 355-1400
DR. MARCUS K HOFFMAN MD
Surgery (Surgical Critical Care)
6620 MAIN ST, SUITE 1350
HOUSTON, TX 77030
Harris County (713) 798-2262
JOHN M. VIERLING MD
Internal Medicine (Gastroenterology)
6620 MAIN ST
HOUSTON, TX 77030
Harris County (713) 798-2500

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 Prasun Jalal's NPI number?

The NPI number for Prasun Jalal is 1265620462. It was assigned to this individual provider in the NPPES registry on October 12, 2007.

Where is Prasun Jalal located?

Prasun Jalal practices at 6620 Main St Suite 1475, Houston, TX 77030. The listed phone number is (713) 798-8100.

What is Prasun Jalal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Transplant Hepatology, with taxonomy code 207RT0003X.

Is Prasun Jalal enrolled in Medicare?

Yes. Prasun Jalal 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 Prasun Jalal accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Prasun Jalal 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 Prasun Jalal affiliated with any hospitals?

According to CMS data, Prasun Jalal is affiliated with Chi St Luke's Health Baylor College Of Medicine Me.

When was this NPI record last updated?

The NPPES record for Prasun Jalal was last updated on March 9, 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.