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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACKIE EMMANUEL QUEEN MD
NPI 1710417753
Internal Medicine in Houston, TX

Active since June 13, 2017PECOS Enrolled
6400 FANNIN ST, HOUSTON, TX 77030(713) 500-6774 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 28, 2026, Oct 6, 2026, Jul 21, 2022 and 2 more (5 updates tracked since 2017).

About Jackie Emmanuel Queen Md NPPES

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

JACKIE EMMANUEL QUEEN MD (NPI 1710417753) is an individual internal medicine provider in Houston, Texas, licensed in South Carolina (51169) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1710417753
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJACKIE EMMANUEL QUEENCredential: MD
Location Address6400 FANNIN STHouston, TX 77030-1521
Mailing Address6431 Fannin StHouston, TX 77030-1501 · (713) 500-6774
Phone(713) 500-6774
Sole ProprietorNo
Enumeration DateJune 13, 2017
Last NPPES UpdateOctober 28, 20265 updates tracked since enumeration
NPPES CertifiedOctober 28, 2026
✔ NPI 1710417753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in SC · 51169
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 51169 (SC)
Also ListedPediatrics · Pediatric Hematology-OncologyTaxonomy 2080P0207X · License D0091877 (MD)
6400 FANNIN ST, Houston, TX 77030
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Secondary Practice Location 1

Location 16410 Fannin StHouston, TX 77030-3000 · Phone (713) 500-6774

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackie Emmanuel Queen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

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 20

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

TEXAS MEDICAL CENTER DENTAL
Dentist (General Practice)
6400 FANNIN ST, SUITE 2040
HOUSTON, TX 77030
Harris County (713) 795-0608
ARWA MOHAMMED ABDULBASET ELGAMAL
Radiology (Diagnostic Radiology)
6400 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 704-4000
SCOTT JAMES RYAN MD
Surgery (Vascular Surgery)
6400 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 486-5100
KRISTIN WHANGER PACINI PA
Physician Assistant (Surgical)
6400 FANNIN ST, 1700
HOUSTON, TX 77030
Harris County (713) 486-1800
DR. RANA OMAR AFIFI MD
Surgery (Vascular Surgery)
6400 FANNIN ST, SUITE NUMBER 2850
HOUSTON, TX 77030
Harris County (713) 486-5100
DR. MICHAEL S SWEENEY M.D.,
Thoracic Surgery (Cardiothoracic Vascular Surgery)
6400 FANNIN ST, STE 3000
HOUSTON, TX 77030
Harris County (713) 790-0841
BAYLOR COLLEGE OF MEDICINE, DEPARTMENT OF ORTHOPEDIC SURGERY
Orthopaedic Surgery
6400 FANNIN ST, SUITE 1620
HOUSTON, TX 77030
Harris County (713) 740-2200
TARA L WEGRYN MD PA
Specialist
6400 FANNIN ST, SUITE 2295
HOUSTON, TX 77030
Harris County (713) 791-9778

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 Jackie Queen's NPI number?

The NPI number for Jackie Queen is 1710417753. It was assigned to this individual provider in the NPPES registry on June 13, 2017.

Where is Jackie Queen located?

Jackie Queen practices at 6400 Fannin St, Houston, TX 77030. The listed phone number is (713) 500-6774.

What is Jackie Queen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jackie Queen enrolled in Medicare?

Yes. Jackie Queen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jackie Queen was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.