Active NPI
United Wound & Vascular Institute Texas PLLC
- Hospitalist Physician
- Fort Worth, TX
National Provider Identifier
1184482309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- UNITED WOUND & VASCULAR INSTITUTE TEXAS PLLC
- Practice address
- 4500 Mercantile Plaza Dr Ste 300
Fort Worth, TX 76137-4206 - Phone
- (888) 402-0202
- Fax
- (888) 860-2960
- NPI assigned
- Mar 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Miller
- Title
- Director of RCM
- Phone
- (248) 331-7908
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Surgery Physician | 208600000X | |||
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
4500 Mercantile Plaza Dr Ste 300
Fort Worth, TX 76137-4206
Mailing address
PO Box 5685
Carol Stream, IL 60197-5685
Phone (248) 607-0037
Other practice location 1
13747 Monrtfort Dr Ste 350
Dallas, TX 75240-4454
Phone (888) 402-0202
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787616000000",
"number": "1184482309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5685",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601975685",
"telephone_number": "248-607-0037",
"fax_number": "734-462-0344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 MERCANTILE PLAZA DR STE 300",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761374206",
"telephone_number": "888-402-0202",
"fax_number": "888-860-2960"
}
],
"practiceLocations": [
{
"address_1": "13747 Monrtfort Dr Ste 350",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752404454",
"country_code": "US",
"telephone_number": "888-402-0202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "UNITED WOUND & VASCULAR INSTITUTE TEXAS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-12",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "DIRECTOR OF RCM",
"authorized_official_telephone_number": "248-331-7908"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1066.1",
"affiliationName": "eSolutions Inc",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CSV",
"address_1": "8215 W 108th Ter",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662101661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Worth, TX
- United Hospice Services, Inc. (DFW Primary Care Providers)
- United Joint and Spine Institute
- United Medical Equipment
- United Medical Equipment Business Solutions Network, Inc.
- United Seating and Mobility LLC (Numotion)
- Universal Clinical Care LLC.
- Universal Health Rehab Services, Inc (Universal Rehab Services)
- Universal Staffing, Inc.
- University Family Medical Clinic P.a.
- University of North Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.