Organization Active NPI

North Richland Hills Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1114952686
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
NORTH RICHLAND HILLS ENDOSCOPY CENTER LLC
Practice address
9569 Harmon Rd
Fort Worth, TX 76177-7517
Phone
(469) 713-5052
Fax
(469) 713-5054
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Katherine Renee Judkins
Title
Vice President
Phone
(615) 240-3770

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary
Endoscopy Clinic/Center 261QE0800X 008398 TX

Addresses

Primary practice location

9569 Harmon Rd
Fort Worth, TX 76177-7517

Mailing address

1A Burton Hills Blvd Ste 300
Nashville, TN 37215-6153
Phone (615) 240-3741

Other identifiers 2

IdentifierTypeStateIssuer
184592701MedicaidTX
HH129AOtherTXBCBSTX

Other names 2

  • Digestive Health Center of Alliance Doing business as
  • Digestive Health Center of North Richland Hills Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061222000203 TX Part B Supplier - Ambulatory Surgical Center 9234139288 Practice locations: North Richland Hills, TX

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Digestive Health Center of North Richland HillsCCN 45C0001438
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1057657North Richland Hills Endoscopy Center9569 Harmon Road, Fort Worth, TX 76177Certificate of waiverAug 17, 2026

National Provider Directory

National Provider Directory

Locations

9569 Harmon Rd
Fort Worth, TX 76177

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1114952686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD STE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156153",
            "telephone_number": "615-240-3741",
            "fax_number": "615-234-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9569 HARMON RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761777517",
            "telephone_number": "469-713-5052",
            "fax_number": "469-713-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH RICHLAND HILLS ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "JUDKINS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-240-3770"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "TX",
            "license": "008398",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184592701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "HH129A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Digestive Health Center of Alliance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Digestive Health Center of North Richland Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.