John Keith Abbott III, M.D.
Individual provider Active NPI Surgery Physician · Rowlett, TX
NPI 1255540936 · NPPES record last updated Aug 17, 2011
Key facts
- NPI
- 1255540936
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- M9766 (TX)
- Practice address
- 7501 Lakeview Pkwy
Suite 270
Rowlett, TX 75088-9322 - Phone
- (972) 412-7700
- Fax
- (972) 412-7710
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- University of Oklahoma College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Oklahoma Communities
Practice addresses (Care Compare)
4140 W Memorial Rd
Suite 621
Oklahoma City, OK 73120-8365
Phone (405) 749-4231
Hospital & facility affiliations
- Mercy Hospital Oklahoma City, Inc
- Oklahoma Heart Hospital South, LLC
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 32 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190517000473 | OK | Practitioner - General Surgery | 6305995473 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Oklahoma Communities | Current |
Accepting new patients | |
| Mercy Hospital Oklahoma City, Inc | Surgery | Past | Accepting new patients |
| Mercy Hospital Oklahoma City, Inc | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Locations
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
4140 W Memorial Rd
Ste 621
Oklahoma City, OK 73120
Phone (405) 749-4224
5200 E I 240 Service Rd
Ste 330
Oklahoma City, OK 73135
Phone (405) 416-9703
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
Interoperability endpoints
- jabbott1026927@directc.mercy.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | M9766 | TX | Yes |
Addresses
Primary practice location
7501 Lakeview Pkwy
Suite 270
Rowlett, TX 75088-9322
Mailing address
7501 Lakeview Pkwy
Suite 270
Rowlett, TX 75088-9322
Phone (972) 412-7700
Other providers in Rowlett, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.