Individual provider Active NPI

Johnna Kay Jones, D.O.

  • Vascular Surgery Physician
  • Fort Worth, TX
National Provider Identifier
1114997186
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
K4472 Issued in TX
Practice address
800 8TH Ave Ste 116
Fort Worth, TX 76104-2606
Phone
(682) 224-5705
Fax
(855) 227-8089
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X K4472 TX
Vascular Surgery Physician 2086S0129X K4472 TX Primary

Addresses

Primary practice location

800 8TH Ave Ste 116
Fort Worth, TX 76104-2606

Mailing address

800 8TH Ave Ste 116
Fort Worth, TX 76104-2606
Phone (682) 224-5705

Other practice location 1

1305 Airport Fwy Ste 103
Bedford, TX 76021-6603
Phone (682) 647-6500

Other identifiers 2

IdentifierTypeStateIssuer
154317504MedicaidTX
154317505MedicaidTX

Other names 1

  • Johnna Kay Knust Former 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
I20040326001316 TX Practitioner - Vascular SurgeryPractitioner - General Surgery 7214829910 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1305 Airport Fwy
Suite 103
Bedford, TX 76021-6603
Phone (682) 647-6500

5204 Long Shot Rd
Fort Worth, TX 76114-1253

800 8TH Ave
Suite 116
Fort Worth, TX 76104-2606
Phone (469) 320-1267

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3471OKMDMental Health Counselor
K4472TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Institute of Houston PLLC Vascular Surgery CurrentSince Dec 1, 2022 Accepting new patients
Johnna Jones DO Facos PA Vascular Surgery CurrentSince Nov 7, 2019 Accepting new patients
Vascular Institute of North Texas, PLLC Vascular Surgery CurrentSince Oct 1, 2021 Accepting new patients
Community Cardiovascular Solutions Vascular Surgery CurrentSince Aug 13, 2023 Accepting new patients

Locations

635 Anderson Rd
Ste 4
Davis, CA 95616
Phone (530) 758-1810

4006 Belt Line Rd
Ste 185
Addison, TX 75001
Phone (214) 619-5632

1305 Airport Fwy
Ste 103
Bedford, TX 76021
Phone (682) 647-6500

4425 Plano Pkwy
Ste 1702
Carrollton, TX 75010
Phone (214) 710-1028

2100 W Colorado Blvd
Dallas, TX 75211
Phone (214) 865-9968

800 8th Ave
Ste 116
Ft Worth, TX 76104
Phone (682) 224-5705

17115 Red Oak Dr
Ste 113
Houston, TX 77090
Phone (832) 777-7570

7515 Main St
Ste 100
Houston, TX 77030
Phone (530) 949-6226

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHCJBD/Endpoint/IHCJBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/AICDCD
  • Direct secure messaging: jkjones@direct.uspi.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JFFCCD

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1114997186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 8TH AVE STE 116",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042606",
            "telephone_number": "682-224-5705",
            "fax_number": "855-227-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 8TH AVE STE 116",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042606",
            "telephone_number": "682-224-5705",
            "fax_number": "855-227-8089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 Airport Fwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760216603",
            "country_code": "US",
            "telephone_number": "682-647-6500",
            "fax_number": "469-320-1268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "JOHNNA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "K4472",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "K4472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154317504",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154317505",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHNNA",
            "last_name": "KNUST",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.