Individual provider Active NPI

James Frederick Havemann, M.D.

  • Family Medicine Physician
  • Grapevine, TX
National Provider Identifier
1366460479
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L8726 Issued in TX
Practice address
1280 S Main St Ste 100
Grapevine, TX 76051-7509
Phone
(469) 495-9018
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L8726 TX Primary

Addresses

Primary practice location

1280 S Main St Ste 100
Grapevine, TX 76051-7509

Mailing address

1280 S Main St Ste 100
Grapevine, TX 76051-7509
Phone (469) 495-9018

Other identifiers 2

IdentifierTypeStateIssuer
166615801MedicaidTX
8K0333OtherTXBCBS

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
I20040615001075 TX Practitioner - Family Practice 4587648829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Southwestern Medical School at Dallas, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

1280 S Main St
Suite 100
Grapevine, TX 76051-7509
Phone (469) 495-9018

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Flower Mound Hospital, Flower Mound, TX, CCN 670068

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Family Medicine CurrentSince Nov 1, 2020 Accepting new patients
Texas Health Physicians Group CurrentSince Nov 1, 2020 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group Family Medicine Past Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

801 International Pkwy
Ste 540
Flower Mound, TX 75022
Phone (469) 457-4763

1280 S Main St
Ste 100
Grapevine, TX 76051
Phone (817) 310-0898

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: jhavemann1666017@direct.texashealth.org

Organizations & group practices 4

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 1

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1366460479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 S MAIN ST STE 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517509",
            "telephone_number": "469-495-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 S MAIN ST STE 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517509",
            "telephone_number": "469-495-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVEMANN",
        "first_name": "JAMES",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L8726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166615801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8K0333",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.