Individual provider Active NPI

Nathan Boydston Haile, M.D.

  • Orthopaedic Surgery Physician
  • Fort Worth, TX
National Provider Identifier
1225473671
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
R9974 Issued in TX
Practice address
3301 Golden Triangle Blvd
Fort Worth, TX 76177-7165
Phone
(817) 540-4477
Fax
(817) 540-5633
NPI assigned
Apr 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X BP10047226 TX
Orthopaedic Surgery Physician 207X00000X R9974 TX Primary

Addresses

Primary practice location

3301 Golden Triangle Blvd
Fort Worth, TX 76177-7165

Mailing address

2425 Highway 121
Bedford, TX 76021-5011
Phone (817) 540-4477

Other practice location 1

10932 N Riverside Dr Ste 108
Fort Worth, TX 76244-7137
Phone (817) 540-4477

Other practice location 2

515 E 100 S Ste 200
Salt Lake City, UT 84102
Phone (801) 581-2401

Other practice location 3

1101 W Eagle Dr Ste B
Decatur, TX 76234-3721
Phone (817) 540-4477

Other practice location 4

2425 Highway 121
Bedford, TX 76021-5011
Phone (817) 540-4477

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
I20190821004497 TX Practitioner - Orthopedic Surgery 5193006278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Medical School at San Antonio, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3301 Golden Triangle Blvd
Fort Worth, TX 76177-7165
Phone (817) 540-4477

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
66.19 of 100Reported as group
Quality
83.43
Promoting interoperability
21
Improvement activities
40
Cost
69.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement53
Knee replacement129
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Orthopedic Specialists, PLLC Orthopaedic Surgery CurrentSince Aug 15, 2019 Accepting new patients
Texas Orthopedic Specialists, PLLC Orthopaedic Surgery CurrentSince Aug 15, 2019 Accepting new patients

Locations

2425 Highway 121
Bedford, TX 76021
Phone (817) 510-4083

1101 W Eagle Dr
Ste B
Decatur, TX 76234
Phone 94030030542009

3301 Golden Triangle Blvd
Fort Worth, TX 76177
Phone (972) 355-9038

10932 N Riverside Dr
Ste 108
Fort Worth, TX 76244

Organizations & group practices 2

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 8

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": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1225473671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 HIGHWAY 121",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215011",
            "telephone_number": "817-540-4477",
            "fax_number": "817-510-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 GOLDEN TRIANGLE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761777165",
            "telephone_number": "817-540-4477",
            "fax_number": "817-540-5633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10932 N Riverside Dr Ste 108",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762447137",
            "country_code": "US",
            "telephone_number": "817-540-4477",
            "fax_number": "817-540-5633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 E 100 S Ste 200",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "84102",
            "country_code": "US",
            "telephone_number": "801-581-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 W Eagle Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "TX",
            "postal_code": "762343721",
            "country_code": "US",
            "telephone_number": "817-540-4477",
            "fax_number": "817-540-5633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2425 Highway 121",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760215011",
            "country_code": "US",
            "telephone_number": "817-540-4477",
            "fax_number": "817-540-5633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAILE",
        "first_name": "NATHAN",
        "middle_name": "BOYDSTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-29",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "BP10047226",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "R9974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.