DR. JAMES EDWARD HOUGAS III M.D.
NPI 1780812651
Family Medicine in Saint Paul, MN
About Dr. James Edward Hougas Iii M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES EDWARD HOUGAS III M.D. (NPI 1780812651) is an individual family medicine provider in Saint Paul, Minnesota, licensed in Minnesota (62244) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview St John's Hospital, and is a graduate of Creighton University School Of Medicine (2009).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. James Edward Hougas Iii 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.
Medicare Billing Reassignments
8Medicare enrollment records show James Hougas reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Paul, MN 55106
- Reassigned Medicare billing, Minnesota enrollment
- 2,302 clinicians in this Medicare group
Saint Paul, MN 55102
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Saint Paul, MN 55102
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Healtheast Medical Research Institute
- 2,361 clinicians in this Medicare group
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 955 clinicians in this Medicare group
Maplewood, MN 55109
- Reassigned Medicare billing, Minnesota enrollment
- 1,178 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Omaha, NE 68198
- Reassigned Medicare billing, Nebraska enrollment
- 2,154 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview St John's Hospital
Acute Care Hospitals · Maplewood, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 James Hougas's NPI number?
The NPI number for James Hougas is 1780812651. It was assigned to this individual provider in the NPPES registry on June 30, 2009.
Where is James Hougas located?
James Hougas practices at Ump Phalen Village Clinic 1414 Maryland Ave E, Saint Paul, MN 55106. The listed phone number is (651) 772-3461.
What is James Hougas's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is James Hougas enrolled in Medicare?
Yes. James Hougas 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.
Which organizations bill Medicare for James Hougas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Hougas reassigns Medicare benefits to 8 organizations: Fairview Clinics (Saint Paul, MN), Fairview Express Care (Saint Paul, MN), Healtheast Medical Research Insititue (Saint Paul, MN), Healtheast Woodwinds Hospital (Woodbury, MN), Healtheast St. John's Hospital (Maplewood, MN) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Hougas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Hougas accept?
Health plans from Sanford Health Plan list James Hougas 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 James Hougas affiliated with any hospitals?
According to CMS data, James Hougas is affiliated with M Health Fairview St John's Hospital.
When was this NPI record last updated?
The NPPES record for James Hougas was last updated on May 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. James Edward Hougas III, M.D. · NPI 1780812651
Family Medicine physician in Saint Paul, Minnesota. Individual provider, active in the CMS NPPES registry since June 30, 2009.
## Identity
- **NPI:** 1780812651 (Entity type: Individual)
- **Enumerated:** June 30, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 62244 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** UMP PHALEN VILLAGE CLINIC, 1414 MARYLAND AVE E, Saint Paul, MN 55106
- **Phone:** (651) 772-3461
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Fairview Clinics (NPI 1124652557, Saint Paul, MN); Fairview Express Care (NPI 1275277204, Saint Paul, MN); Healtheast Medical Research Insititue (NPI 1417145517, Saint Paul, MN); Healtheast Woodwinds Hospital (NPI 1356309322, Woodbury, MN); Healtheast St. John's Hospital (NPI 1447218482, Maplewood, MN); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Creighton University School Of Medicine, class of 2009
## Record status
- **NPPES last updated:** May 31, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1780812651) · Data from the CMS NPPES public registry.