Mamta Jain


Address: 3115 College Park Dr, Suite 112, The Woodlands, TX 77384-4001

Mamta Jain (NPI# 1528138419, PAC ID# 3870696693) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1528138419
PAC ID by PECOS 3870696693
Professional Enrollment ID I20081216000329
Full Name Mamta Jain
Address 3115 College Park Dr
Suite 112
The Woodlands
TX 77384-4001
Gender F
Credential MD
Graduation Year 1999
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
450862 ST LUKE'S THE WOODLANDS HOSPITAL
670059 CHI ST LUKES HEALTH LAKESIDE HOSPITAL
670122 HOUSTON METHODIST THE WOODLANDS HOSPITAL
450184 MEMORIAL HERMANN HOSPITAL SYSTEM
450222 CONROE REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
3115 College Park Dr, Suite 112, The Woodlands, TX 77384-4001

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 3115 COLLEGE PARK DR
SUITE 112
City THE WOODLANDS
State TX
Zip 77384-4001

Physicians in the same location

Name Specialty Organization Address
Carlos E Araujo Preza Pulmonary Disease 3115 College Park Dr, Suite 110, The Woodlands, TX 77384-4001
Anne H Campbell Physical Therapy 3115 College Park Dr, Suite 109, The Woodlands, TX 77384-4001
Sanjaykumar R Patel Cardiovascular Disease (cardiology) 3115 College Park Dr, Suite 112, The Woodlands, TX 77384-4001
Roham Darvishi Internal Medicine North Houston Cancer Clinics Pa 3115 College Park Dr, Suite 108, The Woodlands, TX 77384-4171
Mark J Egerman Anesthesiology Pain Resources Inc 3115 College Park Dr, Suite 103c, The Woodlands, TX 77384-4001
Thomas Oswald Shannon Plastic and Reconstructive Surgery 3115 College Park Dr, Suite 101, The Woodlands, TX 77384-4001
Lin Wang Internal Medicine Michael Y. Chang, D.o., P.a. 3115 College Park Dr, Suite 107, The Woodlands, TX 77384-4001
Richard Nelson Smedley Nurse Practitioner Michael Y. Chang, D.o., P.a. 3115 College Park Dr, Suite 107, The Woodlands, TX 77384-4001

Physicians in the same zip code

Name Specialty Organization Address
James H Liu Otolaryngology 17450 St Lukes Way, Suite 200, The Woodlands, TX 77384-2002
Krista E Reyes Audiologist Adult and Pediatric Ear, Nose, Throat and Allergy of The Woodlands, Pl 17450 St Lukes Way, Suite 200, The Woodlands, TX 77384-2002
Alix Williamson Qualified Audiologist Marquardt Audiology and Hearing Aids Pllc 17450 St Lukes Way, Suite 150, The Woodlands, TX 77384-2003
Shital S Patel Qualified Audiologist Marquardt Audiology and Hearing Aids Pllc 17450 St Lukes Way, Suite 150, The Woodlands, TX 77384-2003
Meagan S Guidry Qualified Audiologist Marquardt Audiology and Hearing Aids Pllc 17450 St Lukes Way, Suite 150, The Woodlands, TX 77384-2003
Kimberly Menzie Optometry Kelsey-seybold Medical Group, Pllc 106 Vision Park Blvd, Shenandoah, TX 77384-3000
Bret A Mcaden Internal Medicine Kelsey-seybold Medical Group, Pllc 106 Vision Park Blvd, Shenandoah, TX 77384-3000
Srikanth Katragadda Internal Medicine Kelsey-seybold Medical Group, Pllc 106 Vision Park Blvd, Shenandoah, TX 77384-3000
Sujatha Anand Family Medicine Kelsey-seybold Medical Group, Pllc 106 Vision Park Blvd, Shenandoah, TX 77384-3000
Lana Hawayek Dermatology Kelsey-seybold Medical Group, Pllc 106 Vision Park Blvd, Shenandoah, TX 77384-3000
Find all physicians in zip 77384

Competitor

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City THE WOODLANDS
Zip Code 77384
Specialty INTERNAL MEDICINE
City + Specialty THE WOODLANDS + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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