Active NPI
H. Stephen Hudgens, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- F9595
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8HW638 | Other | TX | BCBSTX |
| 1102667-03 | Medicaid | TX | |
| 110266705 | Medicaid | TX |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decatur Hospital Authority | Current | Accepting new patients | |
| Wise Clinical Care Associates | Current | 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
- herbert.hudgens@hca7.eclinicaldirectplus.com
- 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.
-
- Family Medicine Physician
- Bridgeport, TX
- NPI 1679719801
-
dba Wise Health System
- Skilled Nursing Facility
- Decatur, TX
- NPI 1124076401
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.