Jeffrey B Phelps, M.D.

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

L4093 Issued in TX

Practice address

8801 N Tarrant Pkwy
North Richland Hills, TX 76182-8461

Phone

(817) 616-0700

Fax

(817) 616-0708

NPI assigned

May 20, 2006

Last updated

Jan 10, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Orthopedic Surgery

Education

University of Texas Medical School at San Antonio, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ortho Spine Surgery Institute PAGroup PAC ID 3476571548, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Ortho Spine Surgery Institute PA

  • Orthopaedic Surgery of the Spine Physician
  • North Richland Hills, TX
  • NPI 1386861698
  Medicare reassignment Care Compare group
• Grapevine Anesthesia, PLLC

  • Anesthesiology Physician
  • North Richland Hills, TX
  • NPI 1841665270
  Authorized official Same address or phone

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1053365304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 N TARRANT PKWY",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761828461",
            "telephone_number": "817-676-0700",
            "fax_number": "817-616-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 N TARRANT PKWY",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761828461",
            "telephone_number": "817-616-0700",
            "fax_number": "817-616-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "JEFFREY",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "L4093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICENSE NUMBER",
            "identifier": "L4093",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Pettis
• Lily Pham-Smith, PHARM. D
• Andy Pham, PHARM.D
• Stephanie Pham, PT, DPT
• Ross Phan, PHARMD, BCPS
• Jaya Philip, R. PH
• Ligy Rubin Philip, APRN, FNP-C
• Treana Pierce
• Ronny Pipes, MA, LPC-S
• Laurel Pitt, MS CCC SLP

• Orthopaedic Surgery of the Spine Physician in North Richland Hills, TX
• Providers in North Richland Hills, TX by specialty
• Orthopaedic Surgery of the Spine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.

Verify at the official NPI Registry.