Individual provider Active NPI

Mark K Hammonds, MD

  • Family Medicine Physician
  • North Richland Hills, TX
National Provider Identifier
1023035615
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H8106 Issued in TX
Practice address
6700 Buenos Aires
North Richland Hills, TX 76180-6566
Phone
(817) 281-8245
Fax
(817) 281-7649
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H8106 TX Primary

Addresses

Primary practice location

6700 Buenos Aires
North Richland Hills, TX 76180-6566

Mailing address

PO Box 961205
Fort Worth, TX 76161-1205
Phone (817) 740-8400

Other identifiers 2

IdentifierTypeStateIssuer
080194396OtherRAILROAD MEDICARE
118957305MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100204000329 TX Practitioner - Family Practice 9537072954 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Care, P.L.L.C. Family Medicine CurrentSince Jan 1, 2003 Accepting new patients
Texas Health Care, P.L.L.C. Current Accepting new patients

Locations

1300 W Terrell Ave
Ste 300
Fort Worth, TX 76104
Phone (817) 250-7360

6100 Harris Pkwy
Ste 100
Ft Worth, TX 76132
Phone (817) 346-5580

2821 Lackland Rd
Ste 300
Ft Worth, TX 76116
Phone (817) 740-8400

5801 Oakbend Trl
Ste 180
Ft Worth, TX 76132
Phone (817) 370-9010

6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1023035615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 961205",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761611205",
            "telephone_number": "817-740-8400",
            "fax_number": "817-281-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 BUENOS AIRES",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806566",
            "telephone_number": "817-281-8245",
            "fax_number": "817-281-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMONDS",
        "first_name": "MARK",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H8106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080194396",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118957305",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

Verify at the official NPI Registry.