Individual provider Active NPI

Adrianne Deem, MD

  • Obstetrics & Gynecology Physician
  • Fort Worth, TX
National Provider Identifier
1083658751
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L3838 Issued in TX
Practice address
1275 W. Terrell Ave
Ste 200
Fort Worth, TX 76104
Phone
(817) 250-7035
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X L3838 TX Primary

Addresses

Primary practice location

1275 W. Terrell Ave
Ste 200
Fort Worth, TX 76104

Mailing address

6100 Harris Pkwy
#245
Fort Worth, TX 76132-4124
Phone (817) 346-5336

Other practice location 1

6100 Harris Pkwy
#245
Fort Worth, TX 76132-4124
Phone (817) 346-5336

Other practice location 2

1275 E Terrell Ave Ste 200
Fort Worth, TX 76104-3764
Phone (817) 250-7035

Other identifiers 4

IdentifierTypeStateIssuer
82954XOtherTXBC/BS
7507354OtherTXAETNA HMO
160059984OtherTXMEDICARE RAILROAD
150755001MedicaidTX

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
I20041111000285 TX Practitioner - Obstetrics/Gynecology 5890758791 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Missouri, Columbia School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

1275 W Terrell Ave
Suite 200
Fort Worth, TX 76104-3764
Phone (817) 250-7035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L3838TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Sep 1, 2024 Accepting new patients
Faron Group PLLC Obstetrics & Gynecology CurrentSince Apr 1, 2015 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group Obstetrics & Gynecology CurrentSince Sep 1, 2024 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

2750 SW Wilshire Blvd
#102
Burleson, TX 76028
Phone (817) 447-0507

1275 W Terrell Ave
Ste 200
Fort Worth, TX 76104
Phone (817) 250-7035

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

6100 Harris Pkwy
Ste 140
Ft Worth, TX 76132
Phone (206) 895-4292

6100 Harris Pkwy
Ste 245
Ft Worth, TX 76132
Phone (817) 346-5336

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1083658751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 HARRIS PKWY",
            "address_2": "#245",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324124",
            "telephone_number": "817-346-5336",
            "fax_number": "817-346-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 W. TERRELL AVE",
            "address_2": "STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "817-250-7035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6100 Harris Pkwy",
            "address_2": "#245",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761324124",
            "country_code": "US",
            "telephone_number": "817-346-5336",
            "fax_number": "817-346-5366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1275 E Terrell Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761043764",
            "country_code": "US",
            "telephone_number": "817-250-7035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEEM",
        "first_name": "ADRIANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L3838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "82954X",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "7507354",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "160059984",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150755001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.