Individual provider Active NPI

Joshua M Chouteau, D.O.

  • General Practice Physician
  • Dallas, TX
National Provider Identifier
1174615066
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
R0375 Issued in TX
Practice address
5050 Quorum Dr Ste 700
Dallas, TX 75254-1410
Phone
(800) 409-1920
Fax
(800) 878-3830
NPI assigned
Sep 28, 2006
Last updated
Mar 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X R0375 TX Primary

Addresses

Primary practice location

5050 Quorum Dr Ste 700
Dallas, TX 75254-1410

Mailing address

5050 Quorum Dr Ste 700
Dallas, TX 75254-1410
Phone (800) 409-1920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130320000702 AL Practitioner - Emergency Medicine 9234374364 Reassigns benefits to 1 organization
I20170906000155 TX Practitioner - General Practice 9234374364 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visiting Doctors Management of Texas LLCGroup PAC ID 1456725001, 5 clinicians
American Visiting Doctors, LLCGroup PAC ID 5698922110, 3 clinicians

Practice addresses (Care Compare)

11200 Broadway St
Suite 2743
Pearland, TX 77584-9787
Phone (800) 409-1920

5050 Quorum Dr
Suite 700
Dallas, TX 75254-1410
Phone (800) 409-1920

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Doctors Management of Texas LLC General Practice CurrentSince Jun 11, 2024 Accepting new patients
Home Visiting Doctors Management LLC General Practice CurrentSince Aug 1, 2017 Accepting new patients
American Visiting Doctors LLC General Practice CurrentSince Aug 1, 2017 Accepting new patients
Healthcare Liaison Services, LLC General Practice CurrentSince Aug 1, 2017 Accepting new patients
City of Jackson Healthcare Authority Current Accepting new patients

Locations

220 Hospital Dr
Jackson, AL 36545
Phone (251) 246-1159

5050 Quorum Dr
Ste 700
Dallas, TX 75254
Phone (214) 402-0101

11200 Broadway St
Ste 2743
Pearland, TX 77584
Phone (281) 818-6758

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1174615066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 QUORUM DR STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752541410",
            "telephone_number": "800-409-1920",
            "fax_number": "800-878-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 QUORUM DR STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752541410",
            "telephone_number": "800-409-1920",
            "fax_number": "800-878-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUTEAU",
        "first_name": "JOSHUA",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "R0375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.