Active NPI
William Jacob Cobb, M.D.
- Family Medicine Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R8876
- Practice address
- 1500 S Main St
Fort Worth, TX 76104-4917 - Phone
- (817) 702-1173
- NPI assigned
- Mar 21, 2017
- Last updated
- Jul 13, 2021
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R8876 | TX | Primary |
Addresses
Primary practice location
1500 S Main St
Fort Worth, TX 76104-4917
Mailing address
102 Springwood Dr
Victoria, TX 77904-3501
Phone (361) 576-2222
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Texas a & M University System, HSC, College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
102 Springwood Dr
Victoria, TX 77904-3501
Phone (361) 576-2222
Hospital & facility affiliations
- Excel Complete Home Healthcare Inc
- De Tar Hospital Navarro
- Citizens Medical Center
- Refugio County Memorial Hospital
- Pam Specialty Hospital of Victoria North
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Regional Health Center LLP | Family Medicine | Current | Accepting new patients |
| Citizens Medical Center County of Victoria | Past | Accepting new patients | |
| Victoria of Texas LP | Past | Accepting new patients |
Locations
102 Springwood Dr
Victoria, TX 77904
Phone (361) 576-2222
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DDHIAA
- https://fhir4.healow.com/fhir/r4/DDHIAA/Endpoint/DDHIAA
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Victoria, TX
- NPI 1841230182
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
-
dba Detar Healthcare System
- General Acute Care Hospital
- Victoria, TX
- NPI 1851343909
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
-
dba Excel Complete Home Healthcare, Inc.
- Home Health Agency
- Victoria, TX
- NPI 1598777849
-
dba PAM Specialty Hospital of Victoria North
- Long Term Care Hospital
- Victoria, TX
- NPI 1659316115
Long-term care hospital
-
- Critical Access Hospital
- Refugio, TX
- NPI 1942240189
-
dba Detar Healthcare System
- General Acute Care Hospital
- Victoria, TX
- NPI 1851343909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626134400000",
"number": "1346771441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 SPRINGWOOD DR",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779043501",
"telephone_number": "361-576-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S MAIN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044917",
"telephone_number": "817-702-1173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBB",
"first_name": "WILLIAM",
"middle_name": "JACOB",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-21",
"last_updated": "2021-07-13",
"certification_date": "2021-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "R8876",
"primary": true
}
],
"identifiers": [],
"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 Jul 13, 2021; 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.