Active NPI
Joshua Travis Knudsen, P.A
- Physician Assistant
- Fort Sam Houston, TX
National Provider Identifier
1245525567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504 - Phone
- (910) 496-6536
- NPI assigned
- Jun 15, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Mailing address
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (910) 496-6536
Other practice location 1
Madigan Army Medical Ctr
9040 Reid Street, ATTN: MCHJ-CLQ-C
Tacoma, WA 98431-1100
Phone (253) 968-2252
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: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.86 of 100
- Quality
- 92.78
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.46 of 100
- Quality
- 92.48
- Improvement activities
- 40
- Cost
- 72.99
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Hospital | Current | Accepting new patients | |
| Fisher County Hospital District | Current | Accepting new patients | |
| Fisher County Hospital District | Current | Accepting new patients | |
| General Hospital | Current | Accepting new patients | |
| Fisher County Hospital District | Current | Accepting new patients | |
| General Hospital | Current | Accepting new patients |
Locations
774 State Highway 70 N
Rotan, TX 79546
Phone (325) 735-2256
Organizations & group practices 11
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.
-
- Critical Access Hospital
- Rotan, TX
- NPI 1598746703
-
- Critical Access Hospital
- Iraan, TX
- NPI 1083619712
-
- Rural Health Clinic/Center
- Rotan, TX
- NPI 1104808112
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1497793475
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1962440933
-
- Emergency Medicine Physician
- Victoria, TX
- NPI 1407917164
-
- Emergency Medicine Physician
- Gonzales, TX
- NPI 1164770996
-
- Land Ambulance
- Rotan, TX
- NPI 1497878524
-
- Emergency Medicine Physician
- Rotan, TX
- NPI 1699898726
-
- Rural Health Clinic/Center
- Iraan, TX
- NPI 1174001242
-
- Family Medicine Physician
- Iraan, TX
- NPI 1881742179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575504000000",
"number": "1245525567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "910-496-6536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "910-496-6536"
}
],
"practiceLocations": [
{
"address_1": "Madigan Army Medical Ctr",
"address_2": "9040 Reid Street, ATTN: MCHJ-CLQ-C",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984311100",
"country_code": "US",
"telephone_number": "253-968-2252",
"fax_number": "253-968-3278",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNUDSEN",
"first_name": "JOSHUA",
"middle_name": "TRAVIS",
"credential": "P.A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-15",
"last_updated": "2019-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.