Active NPI
Jack Menges Jr., MD
- Emergency Medicine Physician
- Texarkana, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- K6776
- Practice address
- 2600 Saint Michael Dr
Texarkana, TX 75503-2372 - Phone
- (903) 614-1000
- NPI assigned
- Jun 27, 2006
- Last updated
- Mar 17, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | K6776 | TX | Primary |
| Family Medicine Physician | 207Q00000X | K6776 | TX |
Addresses
Primary practice location
2600 Saint Michael Dr
Texarkana, TX 75503-2372
Mailing address
6908 Shadow BRK
Texarkana, TX 75503-5444
Phone (903) 223-6933
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200021700A | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Southwestern Medical School at Dallas, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 N Jefferson Ave
Mt Pleasant, TX 75455-2338
Phone (903) 577-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35908 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Texarkana Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| East Texas Medical Services PLLC | Emergency Medicine | Current | Accepting new patients |
| Eastland Memorial Hospital District | Past | Accepting new patients | |
| Texarkana Emergency Medicine Physicians,PA | Emergency Medicine | Past | Accepting new patients |
| Emergency Associates of Texas, PA | Emergency Medicine | Past | Accepting new patients |
| Eastland Memorial Hospital District | Past | Accepting new patients |
Locations
2001 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 434-8044
1000 Pine St
Texarkana, TX 75501
Phone (903) 798-7365
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
4250 Gibson Ln
Texarkana, TX 75503
Phone (903) 614-8100
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Mount Pleasant, TX
- NPI 1972292282
-
- Emergency Medicine Physician
- Texarkana, TX
- NPI 1871813345
-
- Emergency Medicine Physician
- Texarkana, TX
- NPI 1023798501
-
dba Eastland Memorial Hosptial
- Medicare Defined Swing Bed Hospital Unit
- Eastland, TX
- NPI 1023353752
-
dba Eastland Memorial Hospital
- General Acute Care Hospital
- Eastland, TX
- NPI 1689650921
-
- Emergency Medicine Physician
- Texarkana, TX
- NPI 1326071788
-
- Emergency Medicine Physician
- Texarkana, TX
- NPI 1184662553
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Titus Regional Medical Center
- Multi-Specialty Clinic/Center
- Mount Pleasant, TX
- NPI 1063548881
Hospital
-
dba Titus Regional Medical Center
- General Acute Care Hospital
- Mount Pleasant, TX
- NPI 1174526529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1033146899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6908 SHADOW BRK",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755035444",
"telephone_number": "903-223-6933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 SAINT MICHAEL DR",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755032372",
"telephone_number": "903-614-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENGES",
"first_name": "JACK",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "K6776",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "K6776",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200021700A",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.