Individual provider Active NPI

Julia M. Willingham, MD

  • Urology Physician
  • Fort Worth, TX
National Provider Identifier
1154765147
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
R5229 Issued in TX
Practice address
5450 Clearfork Main St Ste 410
Fort Worth, TX 76109
Phone
(817) 784-8268
Fax
(817) 336-8034
NPI assigned
Apr 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X R5229 TX Primary

Addresses

Primary practice location

5450 Clearfork Main St Ste 410
Fort Worth, TX 76109

Mailing address

5450 Clearfork Main St Ste 410
Fort Worth, TX 76109-3559
Phone (817) 784-8268

Other practice location 1

5450 Clearfork Main St Ste 410
Fort Worth, TX 76109
Phone (817) 784-8268

Other practice location 2

5450 Clearfork Main St Ste 410
Fort Worth, TX 76109
Phone (817) 784-8268

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
I20180919002808 TX Practitioner - Urology 6507161866 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Texas Tech University Health Science Center School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

6500 Harris Pkwy
Ft Worth, TX 76132-4136
Phone (817) 263-2600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R5229TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA Current Accepting new patients
Medical Clinic of North Texas, PLLC Urology CurrentSince Aug 27, 2018 Accepting new patients
Medical Clinic of North Texas, PLLC Urology Current Accepting new patients
Texas Oncology PA CurrentSince Mar 1, 2024 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Aug 27, 2018 Accepting new patients
Texas Oncology PA Urology Current Accepting new patients
Texas Oncology PA CurrentSince Mar 1, 2024 Accepting new patients
Medical Clinic of North Texas PLLC PastSince Dec 16, 2020 Accepting new patients

Locations

809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133

4201 Brown Trl
Ste 101
Colleyville, TX 76034
Phone (682) 217-2102

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

5450 Clearfork Main St
Ste 420
Fort Worth, TX 76109
Phone (817) 334-1465

5450 Clearfork Main St
Ste 410
Fort Worth, TX 76109
Phone (817) 505-0233

6500 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 263-2600

925 Gessner Rd
Ste 550
Houston, TX 77024
Phone (713) 467-1722

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222

Interoperability endpoints

  • Direct secure messaging: juliawillingham@tusdfw.medalliesdirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 4

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": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1154765147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 CLEARFORK MAIN ST STE 410",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761093559",
            "telephone_number": "817-784-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 CLEARFORK MAIN ST STE 410",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76109",
            "telephone_number": "817-784-8268",
            "fax_number": "817-336-8034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5450 Clearfork Main St Ste 410",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "76109",
            "country_code": "US",
            "telephone_number": "817-784-8268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5450 Clearfork Main St Ste 410",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "76109",
            "country_code": "US",
            "telephone_number": "817-784-8268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLINGHAM",
        "first_name": "JULIA",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-22",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "R5229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.