Individual provider Active NPI

James E Anderson Jr., MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Fort Worth, TX
National Provider Identifier
1245240290
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
L9600 Issued in TX
Practice address
900 W Rosedale St
Fort Worth, TX 76104-4537
Phone
(817) 885-7442
Fax
(817) 885-7443
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X L9600 TX Primary

Addresses

Primary practice location

900 W Rosedale St
Fort Worth, TX 76104-4537

Mailing address

900 W Rosedale St
Fort Worth, TX 76104-4681
Phone (817) 885-7442

Other practice location 1

6901 Medical Pkwy
Waco, TX 76712-7910
Phone (512) 324-5938

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
I20041104001050 TX Practitioner - Cardiac SurgeryPractitioner - General SurgeryPractitioner - Thoracic SurgeryPractitioner - Peripheral Vascular DiseasePractitioner - Vascular Surgery 0749243343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Thoracic Surgery, Vascular Surgery
Education
Vanderbilt University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4401 Booth Calloway Rd
North Richland Hills, TX 76180-7371
Phone (817) 255-1000

900 8TH Ave
Medical City Fort Worth
Fort Worth, TX 76104-3902
Phone (817) 336-2100

900 W Rosedale St
Fort Worth, TX 76104-4681
Phone (817) 885-7442

Hospital & facility affiliations

  • Medical City Fort Worth Hospital, Fort Worth, TX, CCN 450672
  • Medical City North Hills Hospital, North Richland Hills, TX, CCN 450087

Merit-based Incentive Payment System (MIPS)

Final score
96.38 of 100Reported as group
Quality
80.41
Promoting interoperability
100
Improvement activities
40
Cost
78.69

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Acclaim Physician Group, Inc CurrentSince Dec 11, 2017 Accepting new patients
Cardiothoracic and Vascular Consults PLLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Oct 31, 2018 Accepting new patients

Locations

601 W Sanford St
Arlington, TX 76011
Phone (817) 861-0095

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

900 W Rosedale St
Fort Worth, TX 76104
Phone (817) 855-7442

200 W Magnolia Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 702-2450

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 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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1245240290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W ROSEDALE ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044681",
            "telephone_number": "817-885-7442",
            "fax_number": "817-885-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W ROSEDALE ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044537",
            "telephone_number": "817-885-7442",
            "fax_number": "817-885-7443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6901 Medical Pkwy",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767127910",
            "country_code": "US",
            "telephone_number": "512-324-5938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JAMES",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "L9600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.