Individual provider Active NPI

Gary Milton Cowan, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Fort Worth, TX
National Provider Identifier
1154312007
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
F6544 Issued in TX
Practice address
909 9TH Avenue
#404
Fort Worth, TX 76104-3918
Phone
(817) 332-1782
Fax
(817) 336-8619
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X F6544 TX Primary

Addresses

Primary practice location

909 9TH Avenue
#404
Fort Worth, TX 76104-3918

Mailing address

909 9TH Avenue
#404
Fort Worth, TX 76104-3918
Phone (817) 332-1782

Other identifiers 4

IdentifierTypeStateIssuer
180039400OtherRAILROAD MEDICARE
4112021OtherAETNA
751869812OtherCOMMERCIAL INS
137504002MedicaidTX

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
I20100319000165 TX Practitioner - Ophthalmology 0547297384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Southwestern Medical School at Dallas, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Consultants PAGroup PAC ID 7810924644, 2 clinicians

Practice addresses (Care Compare)

909 9TH Ave
Suite 404
Fort Worth, TX 76104-3918
Phone (817) 332-1782

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Consultants PA CurrentSince Mar 27, 2000 Accepting new patients

Locations

1350 S Main St
Ste 3200
Fort Worth, TX 76104
Phone (817) 338-4550

909 9th Ave
Ste 404
Fort Worth, TX 76104
Phone (817) 332-1782

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1154312007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 9TH AVENUE",
            "address_2": "#404",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043918",
            "telephone_number": "817-332-1782",
            "fax_number": "817-336-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 9TH AVENUE",
            "address_2": "#404",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043918",
            "telephone_number": "817-332-1782",
            "fax_number": "817-336-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "GARY",
        "middle_name": "MILTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "F6544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180039400",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4112021",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INS",
            "identifier": "751869812",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137504002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.