Individual provider Active NPI

Francisco Chacon, M.D.

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1386647162
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K8611 Issued in TX
Practice address
3529 Heritage Trace Pkwy Ste 137
Fort Worth, TX 76244-4971
Phone
(817) 741-7960
Fax
(817) 741-7581
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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 K8611 TX Primary

Addresses

Primary practice location

3529 Heritage Trace Pkwy Ste 137
Fort Worth, TX 76244-4971

Mailing address

3529 Heritage Trace Pkwy Ste 137
Fort Worth, TX 76244-4971
Phone (817) 741-7960

Other identifiers 2

IdentifierTypeStateIssuer
144816902MedicaidTX
144816903MedicaidTX

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
I20040528001227 TX Practitioner - Family Practice 5193627594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

3529 Heritage Trace Pkwy
Suite 137
Fort Worth, TX 76244-4971
Phone (817) 741-7570

Hospital & facility affiliations

  • Texas Health Harris Methodist Hospital Alliance Hospital, Fort Worth, TX, CCN 670085

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Jun 1, 2010 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group Family Medicine CurrentSince Jun 1, 2010 Accepting new patients

Locations

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

3529 Heritage Trace Pkwy
Ste 137
Fort Worth, TX 76244
Phone (817) 741-7570

4504 Boat Club Rd
Ste 800
Ft Worth, TX 76135
Phone (817) 237-0515

Interoperability endpoints

  • Direct secure messaging: fchacon12396@direct.texashealth.org

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 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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1386647162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3529 HERITAGE TRACE PKWY STE 137",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444971",
            "telephone_number": "817-741-7960",
            "fax_number": "817-741-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3529 HERITAGE TRACE PKWY STE 137",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444971",
            "telephone_number": "817-741-7960",
            "fax_number": "817-741-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACON",
        "first_name": "FRANCISCO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K8611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144816902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144816903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.