Autumn Savage, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

Q2848 Issued in TX

Practice address

1300 W Rosedale St Ste a
Fort Worth, TX 76104-2824

Phone

(817) 730-5300

Fax

(817) 989-6819

NPI assigned

Apr 25, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX, KS2 enrollments

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 2

Specialty

Undersea and Hyperbaric MedicineAlso: Family Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Provider Health PAGroup PAC ID 2264531276, 30 clinicians

Wound Integrity Kansas PAGroup PAC ID 9830528363, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ultimate Plus Home Care Home health agency, Mesquite, TX, CCN 747418
• Ultimate Home Health Care Home health agency, Mesquite, TX, CCN 679543

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Premier Provider Health PA

  • Infectious Disease Physician
  • Austin, TX
  • NPI 1013397066
  Medicare reassignment Care Compare group NPD
• Wound Integrity Kansas PA

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1356974679

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Han Pham Hulen MD PA

  • Internal Medicine Physician
  • Humble, TX
  • NPI 1407304066
  NPD
• Premier Provider Health PA

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1235280496
  NPD (past)
• Premier Provider Health PA

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1700032745
  NPD (past)
• Renovo Wound and Hyperbarics PLLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Lewisville, TX
  • NPI 1629683602
  NPD (past)
• Premier Provider Health Utah PLLC

  • Internal Medicine Physician
  • Ogden, UT
  • NPI 1699311209

  Family Medicine

  NPD (past)
• Wound Integrity Oklahoma PA

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1689289910

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• First Rapha Home Health Inc

  • Home Health Agency
  • Mesquite, TX
  • NPI 1366687279
  Care Compare affiliation
• J & M Communications Inc

  • Home Health Agency
  • Mesquite, TX
  • NPI 1902934052
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1245598408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3409",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786913409",
            "telephone_number": "513-252-7792",
            "fax_number": "513-904-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W ROSEDALE ST STE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042824",
            "telephone_number": "817-730-5300",
            "fax_number": "817-989-6819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 S Main St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044917",
            "country_code": "US",
            "telephone_number": "817-781-8081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4351 Booth Calloway Rd Ste 410",
            "address_purpose": "LOCATION",
            "city": "North Richland Hills",
            "state": "TX",
            "postal_code": "761807381",
            "country_code": "US",
            "telephone_number": "817-255-1170",
            "fax_number": "817-255-1171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAVAGE",
        "first_name": "AUTUMN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q2848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366545702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366545703",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366545701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Ronald Saul, D.C.
• Kimberly Saulters, RN, CPNP
• Christian Seth Saunders
• Judith Michele Saunders, LCSW
• Tabitha Caroline Saunders, PA-C
• Dana L. Savage
• Jennifer Lee Savage, NP
• Madeleine Clement Savage, LPC
• Rachel Michelle Savage, MS, APRN, FNP-C
• Vonsetta Savage

• Family Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.

Verify at the official NPI Registry.