NPIMap

Individual provider Active NPI

John Bruno Arkusinski, D.O.

  • Family Medicine Physician
  • Ennis, TX
National Provider Identifier
1093714826
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L3913 Issued in TX
Practice address
206 S Clay St Ste a
Ennis, TX 75119-4530
Phone
(469) 256-2525
Fax
(469) 256-2164
NPI assigned
Jul 14, 2005
Last updated
May 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L3913 TX Primary

Addresses

Primary practice location

206 S Clay St Ste a
Ennis, TX 75119-4530

Mailing address

206 S Clay St Ste a
Ennis, TX 75119-4530
Phone (903) 229-4292

Other identifiers 1

IdentifierTypeStateIssuer
152025601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031218000123 TX Practitioner - Family PracticePractitioner - OtolaryngologyPractitioner - Osteopathic Manipulative Medicine 1759288657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Davey M Perrin MDGroup PAC ID 6002273026, 2 clinicians

Practice addresses (Care Compare)

206 S Clay St
Ennis, TX 75119-4527
Phone (903) 229-4292

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L3913TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Davey M Perrin M.D. Family Medicine CurrentSince Apr 1, 2023 Accepting new patients
Ferris Family Medicine, PA Family Medicine CurrentSince May 1, 2019 Accepting new patients
HSGF Medical Family Medicine CurrentSince Nov 24, 2025 Accepting new patients
Texas Medical Laboratory Inc PastSince Dec 15, 2009 Accepting new patients

Locations

3600 Matlock Rd
Ste 100
Arlington, TX 76015
Phone (817) 465-8855

206 S Clay St
Ennis, TX 75119
Phone (903) 229-4292

206 S Clay St
Ste A
Ennis, TX 75119
Phone (903) 229-4292

201 W 5th St
Ferris, TX 75125
Phone (469) 373-2967

207 W 5th St
Ferris, TX 75125
Phone (972) 842-3016

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CAHCAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JDJADD/Endpoint/JDJADD
  • Direct secure messaging: john.arkusinski@bbfmhwc.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1093714826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 S CLAY ST STE A",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751194530",
            "telephone_number": "903-229-4292",
            "fax_number": "903-229-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S CLAY ST STE A",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751194530",
            "telephone_number": "469-256-2525",
            "fax_number": "469-256-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARKUSINSKI",
        "first_name": "JOHN",
        "middle_name": "BRUNO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L3913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152025601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ennis, TX

Sources for this page

Verify at the official NPI Registry.