Individual provider Active NPI

James Nicholas Fahey, MD

  • Family Medicine Physician
  • Edinburg, TX
National Provider Identifier
1205368602
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S4465 Issued in TX
Practice address
3804 S Jackson Rd Ste 2
Edinburg, TX 78539-6683
Phone
(956) 296-3021
Fax
(956) 296-3020
NPI assigned
Apr 3, 2017
Last updated
Jul 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S4465 TX Primary

Addresses

Primary practice location

3804 S Jackson Rd Ste 2
Edinburg, TX 78539-6683

Mailing address

2102 Treasure Hills Blvd # 3.14406
Harlingen, TX 78550-8736
Phone (956) 296-1437

Other practice location 1

2810 W Expressway 83
Mercedes, TX 78570-9704
Phone (956) 296-1831

Other identifiers 1

IdentifierTypeStateIssuer
H08MV75001OtherTXBCBS

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
I20200611003346 TX Practitioner - Family Practice 2062781503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loyola University of Chicago, Stritch School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3804 S Jackson Rd
2 Ut Health RGV Primary Care (Jackson
Edinburg, TX 78539-6682
Phone (956) 296-3021

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S4465TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Rio Grande Valley CurrentSince Jul 6, 2020 Accepting new patients
The University of Texas Rio Grande Valley Family Medicine Current Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients
Knapp Medical Center Past Accepting new patients

Locations

3804 S Jackson Rd
Ste 2
Edinburg, TX 78539
Phone (956) 296-3021

2102 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 296-1437

2106 Treasure Hills Blvd
Ste 1326
Harlingen, TX 78550
Phone (956) 296-1519

1000 E Dove Ave
McAllen, TX 78504
Phone (956) 362-3520

205 E Toronto Ave
McAllen, TX 78503
Phone (956) 296-3990

2810 W Expressway 83
Mercedes, TX 78570
Phone (956) 296-1831

Organizations & group practices 4

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 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": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1205368602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 TREASURE HILLS BLVD # 3.14406",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508736",
            "telephone_number": "956-296-1437",
            "fax_number": "956-296-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 S JACKSON RD STE 2",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396683",
            "telephone_number": "956-296-3021",
            "fax_number": "956-296-3020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2810 W Expressway 83",
            "address_purpose": "LOCATION",
            "city": "Mercedes",
            "state": "TX",
            "postal_code": "785709704",
            "country_code": "US",
            "telephone_number": "956-296-1831",
            "fax_number": "956-296-2970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAHEY",
        "first_name": "JAMES",
        "middle_name": "NICHOLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S4465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "H08MV75001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.