Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184201592 Individual Practitioner Male Practitioner

Dr. Jackson Edward Massanelli , MD

Pediatrics • Pearland, TX

Professional Overview & Biography Verified Profile Summary

Dr. Jackson Massanelli, MD is a registered healthcare professional specializing in Pediatrics in Pearland, TX. Practice services are available at 2017 BROADWAY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2017 Broadway St

Pearland, TX 775815501

Telephone 2814859990
Fax 2814859469
Associated Practice Facility / Clinic
🏢 Pearland Pediatrics Facility NPI 1588651681

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Pearland, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.0 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
44 Specialists

Practicing in Pearland, TX (5841 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-18
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX U9595

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
NPI 1033418660

Doctor of Medicine (M.D.)

Rachael Farmilette , PA

Physician Assistant

NPI 1033717640

Physician Assistant

Gina Goodgame , RD

Dietitian, Registered

NPI 1184124398

Registered Dietitian

NPI 1326001561

Doctor of Medicine (M.D.)

Zoie Drake , IBCLC

Lactation Consultant, Non-RN

NPI 1396509543

International Board Certified Lactation Consultant

Sarah Yarbrough , RN, IBCLC

Registered Nurse - Lactation Consultant

NPI 1447719737

Registered Nurse, International Board Certified Lactation Consultant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 25, 2025

Registered at 2017 BROADWAY ST, PEARLAND, TX 775815501 (Tel: 2814859990)

👤
Provider Name / Credentials Updated April 25, 2025

Recorded as JACKSON MASSANELLI, MD

NPI Profile Active March 24, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 24, 2021

Registered at 1 BAYLOR PLZ # BCM320, HOUSTON, TX 770303411 (Tel: 8328241170)

📍
Updated Business Mailing Address March 24, 2021

Registered at 1 BAYLOR PLZ # BCM320, HOUSTON, TX 770303411 (Tel: 8328241170)

👤
Provider Name / Credentials Updated March 24, 2021

Recorded as JACKSON MASSANELLI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 24, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184201592
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2021
Last Update: July 18, 2025
Sole Proprietor: No

Mailing Address

1 Baylor Plz # Bcm320

Houston, TX 770303411

Phone: 8328241170

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.