NPIMap

Individual provider Active NPI

John Crawford Hardaway, M.D. PH.D.

  • Surgical Oncology Physician
  • Shenandoah, TX
National Provider Identifier
1043585185
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
83901 Issued in GA
Practice address
920 Medical Plaza Dr Ste 100
Shenandoah, TX 77380-3256
Phone
(832) 616-5180
Fax
(281) 885-4795
NPI assigned
Mar 21, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 83901 GA
Surgery Physician 208600000X 4301103891 MI
Surgical Oncology Physician 2086X0206X LP04152 RI
Surgical Oncology Physician 2086X0206X 83901 GA Primary

Addresses

Primary practice location

920 Medical Plaza Dr Ste 100
Shenandoah, TX 77380-3256

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other practice location 1

50 Maude St
Providence, RI 02908-4325
Phone (401) 456-2077

Other practice location 2

3624 J Dewey Gray Cir Ste 301
Augusta, GA 30909-6580
Phone (706) 868-1615

Other practice location 3

50 Maude St
Providence, RI 02908-4325
Phone (401) 456-2077

Other practice location 4

825 Chalkstone Ave # Prior427
Providence, RI 02908-4728
Phone (401) 456-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JOHN.HARDAWAY@hca5.eclinicaldirectplus.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230517003354 TX Practitioner - Surgical Oncology 1850724485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical Oncology
Education
University of Missouri, Columbia School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

4533 Kingwood Dr
Suite 100
Kingwood, TX 77345-2608
Phone (281) 295-0365

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83901GAMDSurgery Physician
4301103891MIMDSurgery Physician
LP04152RIMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA Surgery CurrentSince Jul 1, 2023 Accepting new patients
Texas Oncology PA Surgery CurrentSince Jul 1, 2023 Accepting new patients
Texas Oncology PA Surgery Current Accepting new patients

Locations

925 Gessner Rd
Ste 550
Houston, TX 77024
Phone (713) 467-1722

13215 Dotson Rd
Ste 170
Houston, TX 77070
Phone (214) 966-4582

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

4533 Kingwood Dr
Ste 100
Kingwood, TX 77345
Phone (281) 295-0365

920 Medical Plaza Dr
Ste 100
Shenandoah, TX 77380
Phone (713) 897-5655

Interoperability endpoints

  • Direct secure messaging: john.hardaway@txo.ikm.direct-ci.com

Organizations & group practices 3

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 11

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": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1043585185",
    "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": "920 MEDICAL PLAZA DR STE 100",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803256",
            "telephone_number": "832-616-5180",
            "fax_number": "281-885-4795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Maude St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029084325",
            "country_code": "US",
            "telephone_number": "401-456-2077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3624 J Dewey Gray Cir Ste 301",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309096580",
            "country_code": "US",
            "telephone_number": "706-868-1615",
            "fax_number": "706-868-1698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Maude St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029084325",
            "country_code": "US",
            "telephone_number": "401-456-2077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 Chalkstone Ave # Prior427",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029084728",
            "country_code": "US",
            "telephone_number": "401-456-2000",
            "fax_number": "401-456-6708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDAWAY",
        "first_name": "JOHN",
        "middle_name": "CRAWFORD",
        "name_prefix": "Dr.",
        "credential": "M.D. PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-21",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "83901",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301103891",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "RI",
            "license": "LP04152",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "GA",
            "license": "83901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JOHN.HARDAWAY@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3624 J Dewey Gray Cir Ste 301",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309096580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.