JENNIFER HARRIS (MD) – Neurology Physician, NPI 1073908802

JENNIFER HARRIS (MD) is a healthcare provider. based in Los angeles, California. specializing in NEUROLOGY, HOSPITALIST. They hold the professional credentials MD. They hold a License No. A172647 (CA). The NPI Number for JENNIFER HARRIS (MD) is 1073908802

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER HARRIS (MD)
NPI
1073908802
Phone
(310) 423-6472
Address
127 S San Vicente Blvd Ste A6600
Enumeration Date
30 March 2015
Last Update Date
30 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2813198530
Graduation Year
2015 (11 years ago)
PAC ID
0547598005
Group Practice PAC ID
1557254968
Professional Enrollment ID
I20241209003109
Address ID
TX773384396HU18955DRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:11State licenses:3Digital endpointsOther names

2,477 NEUROLOGY in CA

Provider Addresses for JENNIFER HARRIS (MD)

  • 127 S San Vicente Blvd Ste A6600

    Los Angeles, CA 900483311

    Phone: (310) 423-6472

    Fax: (310) 423-0148

    Type: Location

  • 710 W 168th St

    New York, NY 100323726

    Phone: (646) 426-3876

    Type: Location

  • 710 W 168TH ST

    NEW YORK, NY 100323726

    Phone: (917) 405-4343

    Type: Mailing

  • 920 FROSTWOOD DR STE 2.3002ND

    HOUSTON, TX 770242314

    Phone: (281) 319-8530

    Type: Mailing

  • 4140 W 190TH ST

    TORRANCE, CA 905045513

    Phone: (310) 967-1780

    Fax: (310) 423-0148

    Type: Mailing

  • 127 S SAN VICENTE BLVD STE A6600

    LOS ANGELES, CA 900483311

    Phone: (310) 423-6472

    Fax: (310) 423-0148

    Type: Location

  • 18955 N MEMORIAL DR STE 360

    HUMBLE, TX 773384396

    Phone: (281) 319-8530

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $222.

Total Amount is formed as General ($222) + Research ($0) + Ownership ($0) = $222.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Boston Scientific Corporation ($197).

Total Amount

$222

General + Research + Ownership

Payments

3

Total payment records

General Amount

$222

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241209003109INeurologyTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes9893$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes9694$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5749$0
99205New patient office or other outpatient visit, 60-74 minutes4141$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4141$0
View full utilization report →

Insurance plans in this area (ZIP 90048)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557254968View full group profile
NameSpecialtyState
Physician AssistantTX
Physician AssistantTX
Physician AssistantTX
N E U R O S U R G E R YNJ
Nurse PractitionerTX
Physical Medicine And RehabilitationNY
-TX
-TX
N E U R O L O G YKS
Physician AssistantTX

Reviews

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Frequently asked questions

What is the registry number for JENNIFER HARRIS (MD)?
The registry entry for JENNIFER HARRIS (MD) shows NPI 1073908802.
Quick check: is JENNIFER HARRIS (MD) active?
Public NPPES data shows JENNIFER HARRIS (MD) with an active NPI status right now.
How should patients interpret JENNIFER HARRIS (MD)'s specialty?
The extract shows Neurology Physician for JENNIFER HARRIS (MD). Clinical services aligned with this taxonomy classification.
Is JENNIFER HARRIS (MD) tied to Los Angeles, California?
If you are local to Los Angeles, California, JENNIFER HARRIS (MD) may be relevant to your search.
Who maintains JENNIFER HARRIS (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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