Active NPI
Evelyn Tobias-Merrill, MD
- Family Medicine Physician
- Fort Worth, TX
National Provider Identifier
1003818014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- J6769
- Practice address
- 2825 Stadium Dr
Fort Worth, TX 76109-1377 - Phone
- (817) 257-7940
- Fax
- (817) 257-7279
- NPI assigned
- Aug 10, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | J6769 | TX | Primary |
Addresses
Primary practice location
2825 Stadium Dr
Fort Worth, TX 76109-1377
Mailing address
2825 Stadium Dr
Fort Worth, TX 76109-1377
Phone (817) 257-7940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J6769 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Bend Academic Physcians PA | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Corpus Christi, TX
- NPI 1487756359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742860800000",
"number": "1003818014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 STADIUM DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761091377",
"telephone_number": "817-257-7940",
"fax_number": "817-257-7279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 STADIUM DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761091377",
"telephone_number": "817-257-7940",
"fax_number": "817-257-7279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBIAS-MERRILL",
"first_name": "EVELYN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-10",
"last_updated": "2025-03-25",
"certification_date": "2025-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "J6769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.