Individual provider Active NPI

Joseph Denton Harris IV, M.D.

  • Specialist
  • Beaumont, TX
National Provider Identifier
1275539074
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E3704 Issued in TX
Practice address
755 N 11TH St
Ste P-3200
Beaumont, TX 77702-1501
Phone
(409) 899-4111
Fax
(409) 899-5670
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X E3704 TX
Specialist 174400000X E3704 TX Primary

Addresses

Primary practice location

755 N 11TH St
Ste P-3200
Beaumont, TX 77702-1501

Mailing address

755 N 11TH St
Ste P-3200
Beaumont, TX 77702-1501
Phone (409) 899-4111

Other practice location 1

755 N 11th St Ste P3200
Beaumont, TX 77702-1518
Phone (409) 899-4111

Other identifiers 1

IdentifierTypeStateIssuer
127882201MedicaidTX

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
I20100618000455 TX Practitioner - Urology 2163494857 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Texas Southwestern Medical School at Dallas, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

2246 Nall St
Christus Family Medicine Port Neches
Port Neches, TX 77651-4208
Phone (409) 722-4400

800 E Dawson St
Christus Trinity Clinic
Tyler, TX 75701-2036
Phone (903) 510-1186

PO Box
Suite 846098
Dallas, TX 75284-6098

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
94.26
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E3704TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Texas Urology Associates, LLP Urology CurrentSince Dec 1, 1999 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Sep 1, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Sep 1, 2024 Accepting new patients
Trinity Clinic Past Accepting new patients
Christus Health Southeast Texas PastSince Aug 19, 2004 Accepting new patients

Locations

2900 North St
Ste 204
Beaumont, TX 77702
Phone (409) 899-4111

755 N 11th St
Ste P3200
Beaumont, TX 77702
Phone (409) 347-6907

2246 Nall St
Port Neches, TX 77651
Phone (409) 344-4010

Interoperability endpoints

  • Direct secure messaging: jharris398125@christushealth.direct-ci.net
  • Direct secure messaging: josephharris@setxuro.medalliesdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1275539074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST",
            "address_2": "STE P-3200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021501",
            "telephone_number": "409-899-4111",
            "fax_number": "409-899-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST",
            "address_2": "STE P-3200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021501",
            "telephone_number": "409-899-4111",
            "fax_number": "409-899-5670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "755 N 11th St Ste P3200",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777021518",
            "country_code": "US",
            "telephone_number": "409-899-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JOSEPH",
        "middle_name": "DENTON",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "E3704",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "E3704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127882201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.