Dr. James P. Herlihy
- Gender: Male
- Experience: 37 years
- Graduated from: Georgetown University School Of Medicine
- Graduation year: 1984
- Sole propriator: No
- NPI: 1972555449
Dr. James P. Herlihy M.D.
Pulmonologist
He is located at 6624 Fannin Street Suite 1730 in Houston, TX 77030. Can help patients with the following: Anemia, Constipation, Heart Disease, Hyponatremia, Pulmonary Hypertension (PH), Sleep Disorders. His National Provider Identifier (NPI) number is 1972555449. Appointment can be made via the phone number (713) 255-4000. He is affiliated with 2 practices and 1 hospitals.
Conditions treated
Dr. James Patrick Herlihy, being an pulmonologist, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. James P. Herlihy.
- Abdominal Pain
- Acute Pain
- Alpha-1 Antitrypsin Deficiency (AATD)
- Anemia
- Arthritis
- Asbestosis
- Asthma
- Atherosclerosis
- Bladder Control
- Blood Clots
- Bronchiectasis
- Bronchitis
- Chest Pain
- Cholecystitis
- Chronic Cough
- Chronic Obstructive Pulmonary Disease (COPD)
- Collapsed Lung
- Common Cold
- Constipation
- Cryptococcosis
- Cystic Fibrosis (CF)
- Cystitis
- Diarrhea
- Edema
- Embolism
- Emphysema
- Fever
- Gastroesophageal Reflux Disease (GERD)
- General Care
- Headache
- Heart Disease
- Hiatal Hernia
- High Blood Pressure
- Hot Flashes
- Hyperlipidemia
- Hyponatremia
- Influenza
- Inguinal Hernia
- Lung Cancer
- Migraine
- Nausea and Vomiting
- Obesity
- Osteoporosis
- Peptic Ulcer
- Pleural Effusion
- Pleurisy
- Pneumonia
- Prescription Refill
- Pulmonary Aspiration
- Pulmonary Embolism (PE)
- Pulmonary Fibrosis (PF)
- Pulmonary Hypertension (PH)
- Sarcoidosis
- Sleep Apnea
- Sleep Disorders
- Smoking and Quitting Smoking
- Tuberculosis (TB)
- Urethritis
- Urinary Tract Infection (UTI)
Procedures Performed by Dr. James P. Herlihy
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. James P. Herlihy as in-network for the following 2026 plans.
Health plans
Ambetter from Superior HealthPlan
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 6 plans from Ambetter from Superior HealthPlan
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Complete VALUE Gold (3 plan variants) | HMO · Gold | Preferred | Accepting new patients |
| Focused VALUE Silver (3 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Focused VALUE Silver + Vision + Adult Dental (3 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Standard Gold VALUE (3 plan variants) | HMO · Gold | Preferred | Accepting new patients |
| Standard Silver VALUE (3 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Standard Silver VALUE + Vision + Adult Dental (3 plan variants) | HMO · Silver | Preferred | Accepting new patients |
Blue Cross and Blue Shield of Texas
Network data as of Jun 7, 2026, as reported by the insurer.
Show all 25 plans from Blue Cross and Blue Shield of Texas
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Blue Advantage Bronze HMO℠ 204 (27 plan variants) | HMO · Expanded Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Bronze HMO℠ 301 (14 plan variants) | HMO · Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Bronze HMO℠ Standard (27 plan variants) | HMO · Expanded Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Gold HMO℠ 206 (27 plan variants) | HMO · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Gold HMO℠ 603 (14 plan variants) | HMO · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Gold HMO℠ Standard (27 plan variants) | HMO · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Bronze℠ 303 (27 plan variants) | POS · Expanded Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Bronze℠ 305 (27 plan variants) | POS · Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Bronze℠ Standard (27 plan variants) | POS · Expanded Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Gold℠ 203 (27 plan variants) | POS · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Gold℠ 803 (27 plan variants) | POS · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Gold℠ Standard (27 plan variants) | POS · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Silver℠ 202 (27 plan variants) | POS · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Silver℠ 605 (27 plan variants) | POS · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Silver℠ Standard (27 plan variants) | POS · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Security HMO℠ 200 (27 plan variants) | HMO · Catastrophic | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Silver HMO℠ 205 (27 plan variants) | HMO · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Silver HMO℠ 801 (14 plan variants) | HMO · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Silver HMO℠ Standard (27 plan variants) | HMO · Silver | Blue Advantage HMO | Accepting new patients |
| MyBlue Health Bronze℠ 402 (13 plan variants) | HMO · Expanded Bronze | Myblue Health | Accepting new patients |
| MyBlue Health Bronze℠ Standard (11 plan variants) | HMO · Expanded Bronze | Myblue Health | Accepting new patients |
| MyBlue Health Gold℠ 403 (13 plan variants) | HMO · Gold | Myblue Health | Accepting new patients |
| MyBlue Health Gold℠ Standard (11 plan variants) | HMO · Gold | Myblue Health | Accepting new patients |
| MyBlue Health Silver℠ 405 (13 plan variants) | HMO · Silver | Myblue Health | Accepting new patients |
| MyBlue Health Silver℠ Standard (11 plan variants) | HMO · Silver | Myblue Health | Accepting new patients |
Community Health Choice
Network data as of Jan 28, 2026, as reported by the insurer.
Show all 18 plans from Community Health Choice
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Community Premier Bronze 003 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| Community Premier Bronze 003 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Community Premier Bronze 018 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| Community Premier Bronze 018 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Community Premier Gold 005 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Gold | Non Preferred | Accepting new patients |
| Community Premier Gold 005 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Gold | Preferred | Accepting new patients |
| Community Premier Gold 021 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Gold | Non Preferred | Accepting new patients |
| Community Premier Gold 021 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Gold | Preferred | Accepting new patients |
| Community Premier Silver 012 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Silver | Non Preferred | Accepting new patients |
| Community Premier Silver 012 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Silver | Preferred | Accepting new patients |
| Community Premier Silver 020 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Silver | Non Preferred | Accepting new patients |
| Community Premier Silver 020 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Silver | Preferred | Accepting new patients |
| Community Select Bronze 016 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| Community Select Bronze 016 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Community Select Gold 022 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) (2 plan variants) | HMO · Gold | Non Preferred | Accepting new patients |
| Community Select Gold 022 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) (2 plan variants) | HMO · Gold | Preferred | Accepting new patients |
| Community Select Silver 019 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) (2 plan variants) | HMO · Silver | Non Preferred | Accepting new patients |
| Community Select Silver 019 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) (2 plan variants) | HMO · Silver | Preferred | Accepting new patients |
WellPoint
Network data as of Sep 10, 2026, as reported by the insurer.
Show all 21 plans from WellPoint
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Wellpoint Essential Bronze 4000 HSA (+ Incentives) | HMO · Expanded Bronze | Participating | Not accepting new patients |
| Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Expanded Bronze | Participating | Not accepting new patients |
| Wellpoint Essential Bronze 6000 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs) | HMO · Expanded Bronze | Participating | Not accepting new patients |
| Wellpoint Essential Bronze 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Expanded Bronze | Participating | Not accepting new patients |
| Wellpoint Essential Bronze POS 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Expanded Bronze | Participating | Not accepting new patients |
| Wellpoint Essential Bronze POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Expanded Bronze | Participating | Not accepting new patients |
| Wellpoint Essential Bronze POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Expanded Bronze | Participating | Not accepting new patients |
| Wellpoint Essential Catastrophic (+ Incentives) | HMO · Catastrophic | Participating | Not accepting new patients |
| Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Gold | Participating | Not accepting new patients |
| Wellpoint Essential Gold 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Gold | Participating | Not accepting new patients |
| Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Gold | Participating | Not accepting new patients |
| Wellpoint Essential Gold POS 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Gold | Participating | Not accepting new patients |
| Wellpoint Essential Gold POS 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Gold | Participating | Not accepting new patients |
| Wellpoint Essential Gold POS 700 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Gold | Participating | Not accepting new patients |
| Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Silver | Participating | Not accepting new patients |
| Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Silver | Participating | Not accepting new patients |
| Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Silver | Participating | Not accepting new patients |
| Wellpoint Essential Silver 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Silver | Participating | Not accepting new patients |
| Wellpoint Essential Silver POS 2500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Silver | Participating | Not accepting new patients |
| Wellpoint Essential Silver POS 4000 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Silver | Participating | Not accepting new patients |
| Wellpoint Essential Silver POS 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Silver | Participating | Not accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. James P. Herlihy is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. James P. Herlihy is enrolled to bill Medicare as a Practitioner - Pulmonary Disease (also registered under: Practitioner - Critical Care (intensivists)) .
Bills through: Pulmonary Critical Care And Sleep Medicine Consultants, Llp
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Novartis | $57 |
| FUJIFILM Medical | $30 |
| Cook Medical | $24 |
Other
| Food and Beverage | $124 |
Studies
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated in 1984Additional Specialities
- Internist
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Questions & Answers
Does Dr. James Patrick Herlihy accept patients with Ambetter from Superior HealthPlan?
Yes, Dr. James Patrick Herlihy is listed in-network for Ambetter from Superior HealthPlan through the ACA Marketplace (Obamacare/HealthCare.gov). See the Marketplace plans section for details.
Where can you meet with Dr. James Patrick Herlihy?
Dr. James Patrick Herlihy's office is located at 6624 Fannin Street Suite 1730 in Houston, TX 77030.
What conditions does Dr. James Patrick Herlihy treat?
Dr. James Patrick Herlihy provides treatment for Anemia, Constipation, Heart Disease, Hyponatremia, Pulmonary Hypertension (PH), Sleep Disorders. For the full list see this list.
Does Dr. James Patrick Herlihy have affiliation with practices?
Dr. James Patrick Herlihy is affiliated with Baylor St. Luke's Medical Group. For the full list of practices see this list.
Has Dr. James Patrick Herlihy affiliation with hospitals?
Dr. James Patrick Herlihy is affiliated with CHI BAYLOR ST LUKES MEDICAL CENTER.