Active NPI
Alexander B Chao, MD
- Vascular Surgery Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- V0258
- Practice address
- 1500 S Main St
Fort Worth, TX 76104-4917 - Phone
- (817) 702-1100
- NPI assigned
- Sep 5, 2006
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A90536 | CA | |
| Vascular Surgery Physician | 2086S0129X | 59881 | TN | |
| Vascular Surgery Physician | 2086S0129X | A90536 | CA | |
| Vascular Surgery Physician | 2086S0129X | 87410 | SC | |
| Vascular Surgery Physician | 2086S0129X | V0258 | TX | Primary |
Addresses
Primary practice location
1500 S Main St
Fort Worth, TX 76104-4917
Mailing address
200 W Magnolia Ave Ste 201
Ft Worth, TX 76104-7657
Phone (817) 702-2977
Other practice location 1
34800 Bob Wilson Dr
San Diego, CA 92134-1098
Phone (619) 532-6400
Other practice location 2
3 Richland Medical Park Dr Ste 330
Columbia, SC 29203-6862
Phone (803) 434-7100
Other practice location 3
5002 Cowhorn Creek Rd Ste 2109
Texarkana, TX 75503-9766
Phone (903) 614-3000
Other practice location 4
880 Madison Ave
Memphis, TN 38103-3409
Phone (901) 545-7272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, TX, TN, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 702-1166
777 N St
Berkshire Surgical Services of BMC
Pittsfield, MA 01201-4147
Phone (413) 445-6420
Hospital & facility affiliations
- Berkshire Medical Center
- JPS Health Network
- North Adams Regional Hospital Corporation
- Fairview Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A90536 | CA | MD | Surgery Physician |
| 59881 | TN | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Surgery | Current | Accepting new patients |
| Fairview Hospital | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Ut Regional One Physicians Inc | Current | Accepting new patients | |
| Acclaim Physician Group, Inc | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| Premier Health Specialists Inc | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Premier Health Specialists Inc | Surgery | Current | Accepting new patients |
| Berkshire Faculty Services Inc | Current | Accepting new patients | |
| Ut Regional One Physicians Inc | Surgery | Current | Accepting new patients |
| Hillcrest Family Health Center | Surgery | Past | Accepting new patients |
| Rancho Faculty Medical Associates, Inc. | Past | Accepting new patients |
Locations
780 S Main St
Gt Barrington, MA 01230
Phone (413) 528-1470
780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498
2350 Miami Valley Dr
Ste 300
Centerville, OH 45459
Phone (937) 438-8640
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187
450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773
6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085
877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893
880 Madison Ave
Memphis, TN 38103
Phone (901) 515-3500
1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
200 W Magnolia Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 702-2450
5002 Cowhorn Creek Rd
Ste 2109
Texarkana, TX 75503
Phone (903) 614-5900
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- achao378745@christushealth.direct-ci.net
- achao240946@direct.metrohealth.org
- alexanderchao@bfs.medalliesdirect.net
Organizations & group practices 14
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.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1780076562
-
- Multi-Specialty Clinic/Center
- Pittsfield, MA
- NPI 1548212939
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Surgery Physician
- Memphis, TN
- NPI 1093130585
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Rural Health Clinic/Center
- Great Barrington, MA
- NPI 1881252286
-
- Foot & Ankle Surgery Podiatrist
- Dayton, OH
- NPI 1902211287
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
-
- Pharmacy
- Cleveland, OH
- NPI 1992529911
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1285042028
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1992753222
-
- General Acute Care Hospital
- Pittsfield, MA
- NPI 1295765261
-
- Critical Access Hospital
- Great Barrington, MA
- NPI 1730112251
-
- Critical Access Hospital
- North Adams, MA
- NPI 1437839669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1063514321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W MAGNOLIA AVE STE 201",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761047657",
"telephone_number": "817-702-2977",
"fax_number": "817-702-2140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S MAIN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044917",
"telephone_number": "817-702-1100"
}
],
"practiceLocations": [
{
"address_1": "34800 Bob Wilson Dr",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921341098",
"country_code": "US",
"telephone_number": "619-532-6400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3 Richland Medical Park Dr Ste 330",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292036862",
"country_code": "US",
"telephone_number": "803-434-7100",
"fax_number": "803-434-6889",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5002 Cowhorn Creek Rd Ste 2109",
"address_purpose": "LOCATION",
"city": "Texarkana",
"state": "TX",
"postal_code": "755039766",
"country_code": "US",
"telephone_number": "903-614-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "880 Madison Ave",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381033409",
"country_code": "US",
"telephone_number": "901-545-7272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAO",
"first_name": "ALEXANDER",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-05",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A90536",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "TN",
"license": "59881",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "A90536",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "SC",
"license": "87410",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "TX",
"license": "V0258",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.