Individual provider Active NPI

H. Stephen Hudgens, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Fort Worth, TX
National Provider Identifier
1336107127
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
F9595 Issued in TX
Practice address
800 Eighth Avenue-Suite 510
Fort Worth, TX 76104
Phone
(817) 332-5714
Fax
(817) 338-0402
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X F9595 TX Primary

Addresses

Primary practice location

800 Eighth Avenue-Suite 510
Fort Worth, TX 76104

Mailing address

800 Eighth Avenue-Suite 510
Fort Worth, TX 76104
Phone (817) 332-5714

Other practice location 1

609 Medical Center Dr Ste 2500
Decatur, TX 76234-3846
Phone (817) 380-6621

Other identifiers 3

IdentifierTypeStateIssuer
8HW638OtherTXBCBSTX
1102667-03MedicaidTX
110266705MedicaidTX

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
I20120130000026 TX Practitioner - Cardiac SurgeryPractitioner - General SurgeryPractitioner - Thoracic SurgeryPractitioner - Vascular Surgery 3678730991 Reassigns benefits to 1 organization
Practice locations: Fortworth, TX

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur Hospital Authority Current Accepting new patients
Wise Clinical Care Associates CurrentSince Oct 13, 2017 Accepting new patients

Locations

133 N FM 730
Unit 105
Boyd, TX 76023
Phone (940) 433-2151

2014 Ben Merritt Dr
Ste B
Decatur, TX 76234
Phone (940) 626-2962

609 Medical Center Dr
Ste 2500
Decatur, TX 76234
Phone (214) 337-6362

Interoperability endpoints

  • Direct secure messaging: herbert.hudgens@hca7.eclinicaldirectplus.com
  • Direct secure messaging: h.hudgens@wise.allscriptsdirect.net

Organizations & group practices 2

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1336107127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 EIGHTH AVENUE-SUITE 510",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "817-332-5714",
            "fax_number": "817-338-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 EIGHTH AVENUE-SUITE 510",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "817-332-5714",
            "fax_number": "817-338-0402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 Medical Center Dr Ste 2500",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "TX",
            "postal_code": "762343846",
            "country_code": "US",
            "telephone_number": "817-380-6621",
            "fax_number": "817-380-6622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDGENS",
        "first_name": "H.",
        "middle_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "F9595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8HW638",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1102667-03",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110266705",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.