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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Jack Louis Addesso, RSA

Surgical Physician Assistant in Houston, TX · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1376679373

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Registry record

Entity type Individual (Type 1)
Name Mr. Jack Louis Addesso
Credential RSA
Sex Male
Practice address 7324 Southwest Freeway, Suite 1550, Houston, TX, 77074
Fax (713) 779-9813
Enumeration date Feb 26, 2007
Last updated in NPPES Oct 4, 2018

Taxonomy & licenses

246ZC0007X Surgical Assistant Technologists, Technicians & Other Technical Service Providers · License 238.000021 (IL) Secondary
246ZS0410X Surgical Technologist Technologists, Technicians & Other Technical Service Providers · License 238.000021 (IL) Secondary
363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 238.000021 (IL) Primary

Other identifiers

Identifier Type State Issuer
238.000021 Other IL REGISTERED SURGICAL ASST.

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1376679373 active?
Yes, as of the latest NPPES snapshot, NPI 1376679373 is active (record last updated 2018-10-04).
How do I verify Jack Addesso's NPI record?
Cross-check NPI 1376679373 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-10-04.