Active NPI
Jonathan Guevara, MD
- Orthopaedic Surgery Physician
- Ft Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- S5377
- Practice address
- 5612 Edwards Ranch Rd
Ft Worth, TX 76109-4145 - Phone
- (817) 420-9238
- Fax
- (817) 570-0182
- NPI assigned
- May 20, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 35.136220 | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Orthopaedic Surgery Physician | 207X00000X | S5377 | TX | Primary |
Addresses
Primary practice location
5612 Edwards Ranch Rd
Ft Worth, TX 76109-4145
Mailing address
5612 Edwards Ranch Rd
Ft Worth, TX 76109-4145
Other practice location 1
3635 Vista Ave
Saint Louis, MO 63110-2539
Phone (314) 577-8000
Other practice location 2
9500 Euclid Ave # A41
Cleveland, OH 44195-2539
Phone (216) 445-6915
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
- Orthopedic Surgery
- Education
- University of Texas Medical School at San Antonio, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The West Texas Rehabilitation Center
Practice addresses (Care Compare)
4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411
6100 Harris Pkwy
Suite 260
Fort Worth, TX 76132-4101
Phone (817) 339-8855
6700 Buenos Aires Dr
N Richland Hills, TX 76180-6566
Phone (817) 281-8245
920 Santa Fe Dr
Suite 103
Weatherford, TX 76086-5865
Phone (817) 339-8855
Hospital & facility affiliations
- Texas Health Harris Methodist Hospital Southwest F
- Hendrick Medical Center
- Baylor Institute for Rehabilitation at Fort Worth
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.51 of 100
- Quality
- 85.62
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 16 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.136220 | OH | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Care, P.L.L.C. | Current | Accepting new patients | |
| Texas Health Care, P.L.L.C. | Orthopaedic Surgery | Current | Accepting new patients |
Locations
5612 Edwards Ranch Rd
Ste 200
Fort Worth, TX 76109
Phone (901) 409-5994
5612 Edwards Ranch Rd
Ft Worth, TX 76109
Phone (817) 420-9238
2821 Lackland Rd
Ste 300
Ft Worth, TX 76116
Phone (817) 740-8400
6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245
920 Santa Fe Dr
Ste 103
Weatherford, TX 76086
Phone (817) 339-8855
Interoperability endpoints
- jonathan.guevara.p1@direct.thc.nextgenshare.com
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.
-
- Interventional Pain Medicine Physician
- Fort Worth, TX
- NPI 1477628873
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1821026352
Orthopaedic Surgery
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Fort Worth, TX
- NPI 1396902540
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Abilene, TX
- NPI 1528064649
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1417980202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1356787188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5612 EDWARDS RANCH RD",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761094145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5612 EDWARDS RANCH RD",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761094145",
"telephone_number": "817-420-9238",
"fax_number": "817-570-0182"
}
],
"practiceLocations": [
{
"address_1": "3635 Vista Ave",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631102539",
"country_code": "US",
"telephone_number": "314-577-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9500 Euclid Ave # A41",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441952539",
"country_code": "US",
"telephone_number": "216-445-6915",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUEVARA",
"first_name": "JONATHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-20",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "35.136220",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "S5377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.