Jason Conn, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L3612 Issued in TX

Practice address

6839 Communications Pkwy
Plano, TX 75024-5991

Phone

(972) 258-7426

Fax

(469) 549-7818

NPI assigned

Nov 6, 2006

Last updated

Sep 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bent Tree Medicine PLLCGroup PAC ID 6204185127, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jason.conn.1@28692.direct.athenahealth.com

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.

• Bent Tree Medicine, PLLC

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1215430756
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1336218437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 PRESTON PARK BLVD STE 2500",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933674",
            "telephone_number": "972-733-7242",
            "fax_number": "972-733-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6839 COMMUNICATIONS PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245991",
            "telephone_number": "972-258-7426",
            "fax_number": "469-549-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONN",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L3612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195307702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Concentra Health Services, Inc.
• Concept Connections LTD
• Concept Eyecare PLLC
• Jennifer Conlin, AU.D.
• Madeline Ryan Conlon, MD
• Connect Speech and Swallowing PLLC
• Connect to Thrive LLC
• Connecticut General Life Insurance Company (Cglic)
• Connectidd Pathways Inc.
• Connections Wellness Group

• Internal Medicine Physician in Plano, TX
• Providers in Plano, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.