Individual provider Active NPI

John Houston Casada, M.D.

  • Psychiatry Physician
  • Abilene, TX
National Provider Identifier
1275640252
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
K4387 Issued in TX
Practice address
1 Village Dr Ste 350
Abilene, TX 79606-8231
Phone
(325) 672-7055
Fax
(325) 672-7066
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X K4387 TX Primary

Addresses

Primary practice location

1 Village Dr Ste 350
Abilene, TX 79606-8231

Mailing address

1 Village Dr Ste 350
Abilene, TX 79606-8231
Phone (325) 672-7055

Other identifiers 1

IdentifierTypeStateIssuer
40940101MedicaidTX

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
I20150409001005 TX Practitioner - PsychiatryPractitioner - Neurology 9739245226 Reassigns benefits to 2 organizations
Practice locations: Abilene, TX

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
University of Texas Medical School at Houston, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TWMH LLCGroup PAC ID 3476998642, 3 clinicians

Practice addresses (Care Compare)

2110 N Willis St
Suite B
Abilene, TX 79603-4352
Phone (325) 232-8675

5250 US Hwy 277 S
Abilene, TX 79605-4547
Phone (325) 899-1053

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33453TXMDGeneral Practice Dentistry
K4387TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Opgt Inc Psychiatry CurrentSince Jul 1, 2022 Accepting new patients
TWMH LLC CurrentSince Jan 15, 2024 Accepting new patients
The University of Texas Health Science Center at San Antonio Past Accepting new patients
Jamison Professional Counseling Center Inc Past Accepting new patients
HHM LLC Psychiatry Past Accepting new patients
Dr Tim Martin MD PLLC Past Accepting new patients

Locations

5250 US Highway 277 S
Abilene, TX 79605
Phone (325) 899-1053

4225 Woods Pl
Abilene, TX 79602
Phone (325) 468-8782

2110 N Willis St
Ste B
Abilene, TX 79603
Phone (325) 232-8675

3300 S FM 1788
Midland, TX 79706
Phone (432) 561-5915

Interoperability endpoints

  • Direct secure messaging: john.casada.1@29687.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1275640252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VILLAGE DR STE 350",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796068231",
            "telephone_number": "325-672-7055",
            "fax_number": "325-672-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VILLAGE DR STE 350",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796068231",
            "telephone_number": "325-672-7055",
            "fax_number": "325-672-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASADA",
        "first_name": "JOHN",
        "middle_name": "HOUSTON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K4387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40940101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.