NPIMap

Individual provider Active NPI

Jason Andrew Seiden, M.D.

  • Pulmonary Disease Physician
  • Burleson, TX
National Provider Identifier
1215126156
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
P3582 Issued in TX
Practice address
11803 South Fwy
Suite 104
Burleson, TX 76028-7012
Phone
(817) 293-1200
Fax
(817) 293-1202
NPI assigned
Oct 16, 2007
Last updated
Jun 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X P3582 TX
Pulmonary Disease Physician 207RP1001X P3582 TX Primary

Addresses

Primary practice location

11803 South Fwy
Suite 104
Burleson, TX 76028-7012

Mailing address

PO Box 16693
Fort Worth, TX 76162-0693
Phone (817) 293-1200

Other identifiers 1

IdentifierTypeStateIssuer
308829601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120924000265 TX Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Sleep MedicinePractitioner - Critical Care (Intensivists) 3072658194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jason a Seiden MD PAGroup PAC ID 7911222542, 2 clinicians

Practice addresses (Care Compare)

11803 S Fwy
Suite 205
Burleson, TX 76028-7030
Phone (817) 293-1200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Lung Center LLP Pulmonary Disease CurrentSince Jan 14, 2010 Accepting new patients
Jason a. Seiden, M.D., P.a. Pulmonary Disease CurrentSince Jan 15, 2015 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Rheumatology Clinic of DFW PLLC PastSince Feb 13, 2024 Accepting new patients
Texas Pulmonary & Critical Care Consultants, PA Critical Care Medicine Past Accepting new patients

Locations

370 E Main St
Ste 5
Bay Shore, NY 11706
Phone (516) 666-5864

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

11803 South Fwy
Ste 205
Burleson, TX 76028
Phone (817) 293-1200

11803 South Fwy
Ste 104
Burleson, TX 76028
Phone (817) 293-1200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24066/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/AIFJCA/Endpoint/AIFJCA

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 5

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": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1215126156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16693",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761620693",
            "telephone_number": "817-293-1200",
            "fax_number": "817-293-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11803 SOUTH FWY",
            "address_2": "SUITE 104",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287012",
            "telephone_number": "817-293-1200",
            "fax_number": "817-293-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDEN",
        "first_name": "JASON",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-16",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "P3582",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "P3582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308829601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

Verify at the official NPI Registry.