Individual provider Active NPI

Daniel Jipescu, D.O.

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1134573637
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
BP10055345 Issued in TX
Practice address
900 8TH Ave
Fort Worth, TX 76104-3902
Phone
(817) 877-5292
NPI assigned
Apr 20, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10055345 TX Primary

Addresses

Primary practice location

900 8TH Ave
Fort Worth, TX 76104-3902

Mailing address

900 8TH Ave
Fort Worth, TX 76104-3902
Phone (817) 877-5292

Other practice location 1

1507 W Main St
Gatesville, TX 76528-1024
Phone (254) 865-2166

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address djipescu@ch.cernerdirect.com Direct

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
I20231023003576 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 0042666364 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
360 Cardiac Care PCGroup PAC ID 7012303985, 2 clinicians

Practice addresses (Care Compare)

8801 N Tarrant Pkwy
North Richland Hills, TX 76182-8461
Phone (682) 337-3810

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10055345TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coryell County Memorial Hospital Authority CurrentSince Oct 1, 2023 Accepting new patients
Heart of Texas Cath Lab, PLLC CurrentSince Jan 7, 2024 Accepting new patients
Coryell County Memorial Hospital Authority CurrentSince Oct 1, 2023 Accepting new patients
Falls Community Hospital and Clinic CurrentSince Apr 1, 2025 Accepting new patients
J. Phillip Myatt, M.D., PLLC Dba Waco Heart & Vascular Internal Medicine CurrentSince Oct 2, 2023 Accepting new patients
Coryell County Memorial Hospital Authority Current Accepting new patients
360 Cardiac Care PC CurrentSince Nov 1, 2024 Accepting new patients
Falls Community Hospital and Clinic CurrentSince Apr 1, 2025 Accepting new patients

Locations

1507 W Main St
Gatesville, TX 76528
Phone (254) 865-8251

1008 NE Big Bend Trl
Ste 400
Glen Rose, TX 76043
Phone (817) 661-1520

2800 Village Rd
Ste 112
Granbury, TX 76049
Phone (254) 897-1434

1866 Keller Pkwy
Ste B
Keller, TX 76248
Phone (682) 337-3810

322 Coleman St
Marlin, TX 76661
Phone 2548033561153

514 S Bonham St
Mexia, TX 76667
Phone (254) 562-9321

4375 Booth Calloway Rd
Ste 210
North Richlnd Hls, TX 76180
Phone (817) 284-9797

8801 N Tarrant Pkwy
North Richlnd Hls, TX 76182
Phone (817) 616-0700

321 Richland West Cir
Waco, TX 76712
Phone (254) 756-4457

7003 Woodway Dr
Ste 307
Woodway, TX 76712
Phone (254) 235-1122

Interoperability endpoints

  • Direct secure messaging: daniel.jipescu.1@31376.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DCIGCD

Organizations & group practices 8

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 5

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": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1134573637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043902",
            "telephone_number": "817-877-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043902",
            "telephone_number": "817-877-5292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1507 W Main St",
            "address_purpose": "LOCATION",
            "city": "Gatesville",
            "state": "TX",
            "postal_code": "765281024",
            "country_code": "US",
            "telephone_number": "254-865-2166",
            "fax_number": "254-248-0626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIPESCU",
        "first_name": "DANIEL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-20",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10055345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "djipescu@ch.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Coryell Health Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1507 W Main St",
            "city": "Gatesville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765281024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.