Individual provider Active NPI

Alexander B Chao, MD

  • Vascular Surgery Physician
  • Fort Worth, TX
National Provider Identifier
1063514321
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
V0258 Issued in TX
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

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PENDINGMedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX, TN, MA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20211123002884 OH Practitioner - Vascular Surgery 4284654682 Reassigns benefits to 2 organizations
I20240531002811 TX Practitioner - Vascular Surgery 4284654682 Reassigns benefits to 2 organizations
I20241119004248 TN Practitioner - Vascular Surgery 4284654682 Reassigns benefits to 1 organization
I20251209003577 MA Practitioner - Vascular Surgery 4284654682 Reassigns benefits to 1 organization

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
Acclaim Physician Group IncGroup PAC ID 4587963582, 520 clinicians
Berkshire Faculty Services IncGroup PAC ID 8224068424, 276 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A90536CAMDSurgery Physician
59881TNMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Surgery CurrentSince Mar 4, 2024 Accepting new patients
Fairview Hospital CurrentSince Sep 20, 2025 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jul 29, 2024 Accepting new patients
Ut Regional One Physicians Inc CurrentSince Oct 1, 2024 Accepting new patients
Acclaim Physician Group, Inc CurrentSince May 24, 2024 Accepting new patients
The Metrohealth System CurrentSince Mar 4, 2024 Accepting new patients
Premier Health Specialists Inc CurrentSince Nov 19, 2021 Accepting new patients
The Metrohealth System Current Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jul 29, 2024 Accepting new patients
Premier Health Specialists Inc Surgery CurrentSince Nov 19, 2021 Accepting new patients
Berkshire Faculty Services Inc CurrentSince Sep 20, 2025 Accepting new patients
Ut Regional One Physicians Inc Surgery CurrentSince Oct 1, 2024 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

  • Direct secure messaging: achao378745@christushealth.direct-ci.net
  • Direct secure messaging: achao240946@direct.metrohealth.org
  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.