Active NPI
Gary Milton Cowan, M.D.
- Retina Specialist (Ophthalmology) Physician
- Fort Worth, TX
National Provider Identifier
1154312007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- F6544
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180039400 | Other | RAILROAD MEDICARE | |
| 4112021 | Other | AETNA | |
| 751869812 | Other | COMMERCIAL INS | |
| 137504002 | Medicaid | TX |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retina Consultants PA | Current | 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
- 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.
-
- Ophthalmology Physician
- Fort Worth, TX
- NPI 1154303055
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.