Individual provider Active NPI

Joseph Yaw Obeng, M.D.

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1023075058
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M0200 Issued in TX
Practice address
2600 Mall Cir
Fort Worth, TX 76116-1546
Phone
(817) 870-1033
Fax
(817) 900-0309
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M0200 TX Primary

Addresses

Primary practice location

2600 Mall Cir
Fort Worth, TX 76116-1546

Mailing address

2600 Mall Cir
Fort Worth, TX 76116-1546
Phone (817) 870-1033

Other identifiers 1

IdentifierTypeStateIssuer
170083301MedicaidTX

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
I20041117000815 TX Practitioner - Internal Medicine 6800850926 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sciometrix IncGroup PAC ID 9335511443, 46 clinicians

Practice addresses (Care Compare)

1485 FM 1960 Bypass Rd E
Suite 100
Humble, TX 77338-3965
Phone (810) 270-8055

2600 Mall Cir
Fort Worth, TX 76116-1546
Phone (817) 870-1033

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M0200TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Obeng MD PA Internal Medicine CurrentSince Jan 20, 2012 Accepting new patients
Vein Rain Infusion P.C. Current Accepting new patients
Sciometrix Inc CurrentSince Feb 20, 2024 Accepting new patients
Baylor All Saints Medical Center Past Accepting new patients

Locations

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

908 9th Ave
Ste A
Fort Worth, TX 76104
Phone (817) 877-5781

2600 Mall Cir
Fort Worth, TX 76116
Phone (817) 870-1033

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

700 Smith St
Ste 61070
Houston, TX 77002
Phone (956) 949-0330

1485 FM 1960 Bypass Rd E
Ste 100
Humble, TX 77338
Phone (281) 964-2100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EAFIDD/Endpoint/EAFIDD

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1023075058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 MALL CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761161546",
            "telephone_number": "817-870-1033",
            "fax_number": "817-900-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 MALL CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761161546",
            "telephone_number": "817-870-1033",
            "fax_number": "817-900-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBENG",
        "first_name": "JOSEPH",
        "middle_name": "YAW",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M0200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170083301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.