Individual provider Active NPI

Joseph Peevey, MD

  • Cytopathology Physician
  • Fort Worth, TX
National Provider Identifier
1346582822
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cytopathology PhysicianTaxonomy code 207ZC0500X
License
036140293 Issued in IL
Practice address
1800 Park Place Ave
Fort Worth, TX 76110-1302
Phone
(871) 922-1559
Fax
(706) 653-4449
NPI assigned
Mar 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X 036140293 IL Primary

Addresses

Primary practice location

1800 Park Place Ave
Fort Worth, TX 76110-1302

Mailing address

PO Box 843302
Dallas, TX 75284-3302
Phone (800) 475-6236

Other identifiers 1

IdentifierTypeStateIssuer
1346582822MedicaidIL

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
I20220222000215 TX Practitioner - Pathology 8729360698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Texas Medical School at San Antonio, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tarrant Pathology AssociatesGroup PAC ID 5890680433, 5 clinicians

Practice addresses (Care Compare)

1800 Park Place Ave
Fort Worth, TX 76110-1302
Phone (817) 922-1559

Hospital & facility affiliations

  • Baylor Scott and White All Saints Medical Center Hospital, Fort Worth, TX, CCN 450137
  • Baylor Scott and White Surgical Hospital Fortworth Hospital, Fort Worth, TX, CCN 450880

Merit-based Incentive Payment System (MIPS)

Final score
93.22 of 100Reported as group
Quality
80
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tarrant Pathology Associates CurrentSince Mar 1, 2022 Accepting new patients

Locations

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

Organizations & group practices 1

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 3

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": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1346582822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843302",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752843302",
            "telephone_number": "800-475-6236",
            "fax_number": "706-653-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PARK PLACE AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101302",
            "telephone_number": "871-922-1559",
            "fax_number": "706-653-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEEVEY",
        "first_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-21",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "IL",
            "license": "036140293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346582822",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.