Active NPI
Joseph Dean McCracken, M.D.
- Hematology & Oncology Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- G3959
- Practice address
- 1200 Brooklyn Ave
Suite #115
San Antonio, TX 78212-4803 - Phone
- (210) 224-6531
- Fax
- (210) 226-0402
- NPI assigned
- Jul 29, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | G3959 | TX | Primary |
Addresses
Primary practice location
1200 Brooklyn Ave
Suite #115
San Antonio, TX 78212-4803
Mailing address
PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123194602 | Medicaid | TX | |
| 83794J | Other | TN | BLUECROSS/BLUESHIELD TX. |
| 2121567 | Other | TX | AETNA HMO |
| 4216632 | Other | TX | AETNA PPO |
| 830005580 | Other | TX | RAILROAD MEDICARE |
| 123194606 | Medicaid | TX | |
| P01547659 | Other | TX | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210729000752 | IA | Practitioner - Medical Oncology | 7911004676 | Reassigns benefits to 1 organization |
| I20220809000577 | LA | Practitioner - Medical Oncology | 7911004676 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| North Iowa Mercy Clinics | Current | Accepting new patients | |
| North Iowa Mercy Clinics | Current | Accepting new patients | |
| North Iowa Mercy Clinics | Current | Accepting new patients | |
| Administrators of the Tulane Education Fund | Current | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients | |
| Cancer Care Network of South Texas PA | Hematology | Past | Accepting new patients |
Locations
1000 4th St SW
Mason City, IA 50401
Phone (641) 424-6704
2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287
1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300
1415 Tulane Ave
Fl 6
New Orleans, LA 70112
Phone (504) 988-5110
Organizations & group practices 8
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- New Orleans, LA
- NPI 1790354595
-
- Specialist
- Hattiesburg, MS
- NPI 1033395298
-
- Medical Oncology Physician
- Mason City, IA
- NPI 1972610376
-
- Sports Medicine (Family Medicine) Physician
- Mason City, IA
- NPI 1982300349
-
- Hematology & Oncology Physician
- San Antonio, TX
- NPI 1225064603
Hematology
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1023022365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 911230",
"city": "DALLAS",
"state": "TX",
"postal_code": "753911230",
"telephone_number": "972-997-8000",
"fax_number": "972-234-2987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 BROOKLYN AVE",
"address_2": "SUITE #115",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782124803",
"telephone_number": "210-224-6531",
"fax_number": "210-226-0402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCRACKEN",
"first_name": "JOSEPH",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-29",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TX",
"license": "G3959",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123194602",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS/BLUESHIELD TX.",
"identifier": "83794J",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2121567",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4216632",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "830005580",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123194606",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01547659",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Karin Johanna Maria McCoy, PH.D.
- Kristi Rose McCoy, MD
- Melanie Ann Mahealani McCoy, MD
- William Douglass McCoy, PA-C
- Brittany McCracken
- Mary Kathryn McCracken, M.A., CCC-SLP
- McCrae Colorado Hearing Ventures
- McCrae Hearing Ventures, Inc.
- McCrae Management & Investments
- McCrae Management and Investments, LTD.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.