Individual provider Active NPI

Homa Jackson Porter II, M.D.

  • Urology Physician
  • Dallas, TX
National Provider Identifier
1073560058
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
L8894 Issued in TX
Practice address
8230 Walnut Hill LN
Suite 700
Dallas, TX 75231-4482
Phone
(214) 691-1902
Fax
(214) 987-1845
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X L8894 TX Primary

Addresses

Primary practice location

8230 Walnut Hill LN
Suite 700
Dallas, TX 75231-4482

Mailing address

3600 Gaston Ave
Suite 1205
Dallas, TX 75246-1800
Phone (214) 692-8262

Other identifiers 4

IdentifierTypeStateIssuer
P00129571OtherTXRRMCR
168549702MedicaidTX
168549701MedicaidTX
8M6732OtherBCBS PROVIDER ID

Other names 1

  • Dr. Jake Porter II Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040722001256 TX Practitioner - Urology 6305826009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Texas Medical School at San Antonio, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

6124 W Parker Rd
Plano, TX 75093-8124
Phone (214) 691-1902

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.14 of 100Reported as group
Quality
97.48
Promoting interoperability
100
Improvement activities
40
Cost
69.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L8894TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Clinics of North Texas, PLLC Urology Current Accepting new patients
Urology Clinics of North Texas, PLLC CurrentSince Jul 1, 2004 Accepting new patients
Urology Clinics of North Texas, PLLC Urology CurrentSince Jul 1, 2004 Accepting new patients
Urology Clinics of North Texas PLLC Past Accepting new patients

Locations

3600 Gaston Ave
Ste 1205
Dallas, TX 75246

7777 Forest Ln
Ste A230
Dallas, TX 75230
Phone (972) 566-7765

9900 N Central Expy
Ste 120
Dallas, TX 75231
Phone (214) 580-2265

12606 Greenville Ave
Ste 185
Dallas, TX 75243
Phone (214) 739-1706

8230 Walnut Hill Ln
Ste 700
Dallas, TX 75231

12606 Greenville Ave
Ste 160
Dallas, TX 75243
Phone (469) 364-7880

9900 N Central Expy
Ste 130
Dallas, TX 75231

4312 Heritage Trace Pkwy
Ste 700
Fort Worth, TX 76244
Phone (214) 692-6282

1650 Republic Pkwy
Ste 130
Mesquite, TX 75150

1650 Republic Pkwy
Ste 150
Mesquite, TX 75150
Phone (214) 692-8262

6957 W Plano Pkwy
Ste 1300
Plano, TX 75093
Phone (972) 820-1400

6124 W Parker Rd
Ste 434
Plano, TX 75093
Phone (214) 750-0808

Interoperability endpoints

  • Direct secure messaging: homa.porter.p1@direct.urologyclinics.nextgenshare.com

Organizations & group practices 4

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 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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1073560058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE",
            "address_2": "SUITE 1205",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461800",
            "telephone_number": "214-692-8262",
            "fax_number": "214-696-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 WALNUT HILL LN",
            "address_2": "SUITE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314482",
            "telephone_number": "214-691-1902",
            "fax_number": "214-987-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "HOMA",
        "middle_name": "JACKSON",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "L8894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR",
            "identifier": "P00129571",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168549702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168549701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "8M6732",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAKE",
            "last_name": "PORTER",
            "prefix": "DR.",
            "suffix": "II",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.