Individual provider Active NPI

Michael David Jameson, M.D

  • Nephrology Physician
  • Arlington, TX
National Provider Identifier
1306895347
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
HO492 Issued in TX
Practice address
1132 S Bowen Rd
Arlington, TX 76013-2204
Phone
(817) 265-9700
Fax
(817) 277-4164
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X HO492 TX Primary

Addresses

Primary practice location

1132 S Bowen Rd
Arlington, TX 76013-2204

Mailing address

8600 Meadowbrook Dr
Fort Worth, TX 76120-4612
Phone (817) 265-9700

Other identifiers 4

IdentifierTypeStateIssuer
89K852OtherTXBLUE CROSS BLUE SHIELD
007OtherTRICARE
390001182OtherRAILROAD MEDICARE
047890101MedicaidTX

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
I20100823000198 TX Practitioner - Nephrology 4587798814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Texas Medical School at Houston, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Texas Nephrology Associates PAGroup PAC ID 7214910850, 4 clinicians

Practice addresses (Care Compare)

1132 S Bowen Rd
Arlington, TX 76013-2204
Phone (817) 265-9700

1138 S Bowen Rd
Arlington, TX 76013-2204
Phone (817) 265-7115

Hospital & facility affiliations

  • Ameri-Tech Kidney Center-Arlington LLC Dialysis facility, Arlington, TX, CCN 452618
  • Texas Health Arlington Memorial Hospital Hospital, Arlington, TX, CCN 450064
  • Medical City Arlington Hospital, Arlington, TX, CCN 450675
  • Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023
  • Texas Health Heart & Vascular Hospital Arlington Hospital, Arlington, TX, CCN 670071

Merit-based Incentive Payment System (MIPS)

Final score
55 of 100Reported as group
Quality
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
HO492TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Nephrology Associates, P.a. Current Accepting new patients
Grapevine Kidney Center LLC PastSince Sep 30, 2015 Accepting new patients

Locations

1132 S Bowen Rd
Arlington, TX 76013
Phone (817) 265-9700

Organizations & group practices 3

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 4

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1306895347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 MEADOWBROOK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761204612",
            "telephone_number": "817-265-9700",
            "fax_number": "817-277-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 S BOWEN RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760132204",
            "telephone_number": "817-265-9700",
            "fax_number": "817-277-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMESON",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "HO492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "89K852",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "390001182",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047890101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.