Individual provider Active NPI

Ivan Noffsker, MD

  • Vascular Surgery Physician
  • Fort Worth, TX
National Provider Identifier
1265927438
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
U2956 Issued in TX
Practice address
800 8TH Ave Ste 306
Fort Worth, TX 76104-2602
Phone
(682) 224-3748
Fax
(682) 841-0039
NPI assigned
Jun 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X FN6766159 PA
Vascular Surgery Physician 2086S0129X U2956 TX Primary
Vascular Surgery Physician 2086S0129X MD494931 PA

Addresses

Primary practice location

800 8TH Ave Ste 306
Fort Worth, TX 76104-2602

Mailing address

701 E Bluff St Apt 4115
Fort Worth, TX 76102-2363
Phone (682) 583-5900

Other practice location 1

252 S 4th St Fl 2
Lebanon, PA 17042-6111
Phone (717) 270-3751

Other practice location 2

179 N Reading Rd
Ephrata, PA 17522-1647
Phone (717) 738-0167

Other practice location 3

30 Monument Rd Ste 1100
York, PA 17403-5024
Phone (717) 851-6454

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
I20240325002294 TX Practitioner - Vascular Surgery 5294172342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Texas Tech University Health Science Center School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Texas Surgical Specialists PLLCGroup PAC ID 8921364100, 32 clinicians

Practice addresses (Care Compare)

6901 Davis Blvd
Suite 100
North Richland Hills, TX 76182-4001
Phone (682) 224-3748

Hospital & facility affiliations

  • Texas Health Huguley Hospital Fort Worth South Hospital, Fort Worth, TX, CCN 450677
  • Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779
  • Medical City Arlington Hospital, Arlington, TX, CCN 450675
  • Texas Health Hospital Mansfield Hospital, Mansfield, TX, CCN 670309
  • Medical City Fort Worth Hospital, Fort Worth, TX, CCN 450672

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)23
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U2956TXMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Surgical Specialists PLLC CurrentSince Jan 6, 2024 Accepting new patients

Locations

601 Omega Dr
Ste 203
Arlington, TX 76014
Phone (469) 445-0779

800 8th Ave
Ste 306
Fort Worth, TX 76104
Phone (817) 336-1300

2700 W Pleasant Run Rd
Ste 370
Lancaster, TX 75146
Phone (469) 206-4515

2302 Lone Star Rd
Ste 160
Mansfield, TX 76063
Phone (817) 871-9069

6901 Davis Blvd
#100
North Richland Hills, TX 76182
Phone (817) 893-6001

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDABBD

Organizations & group practices 1

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 7

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": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1265927438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E BLUFF ST APT 4115",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761022363",
            "telephone_number": "682-583-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 8TH AVE STE 306",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042602",
            "telephone_number": "682-224-3748",
            "fax_number": "682-841-0039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "252 S 4th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170426111",
            "country_code": "US",
            "telephone_number": "717-270-3751",
            "fax_number": "717-270-3754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "179 N Reading Rd",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221647",
            "country_code": "US",
            "telephone_number": "717-738-0167",
            "fax_number": "717-207-8626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Monument Rd Ste 1100",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035024",
            "country_code": "US",
            "telephone_number": "717-851-6454",
            "fax_number": "717-851-1665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOFFSKER",
        "first_name": "IVAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-28",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "FN6766159",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "U2956",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD494931",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.