Active NPI
Lovely Philipose, M.D.
- Family Medicine Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- S0536
- Practice address
- 1950 Ephriham Ave
Fort Worth, TX 76164-6670 - Phone
- (817) 813-7075
- NPI assigned
- Mar 5, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | S0536 | TX | Primary |
| Family Medicine Physician | 207Q00000X | 35.094372 | OH |
Addresses
Primary practice location
1950 Ephriham Ave
Fort Worth, TX 76164-6670
Mailing address
PO Box 746079
Atlanta, GA 30374-6079
Phone (773) 352-1515
Other practice location 1
720 S Main St
Keller, TX 76248-4936
Phone (817) 431-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3005670 | Medicaid | OH |
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
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
779 Grapevine Hwy
Hurst, TX 76054-2805
Phone (817) 428-7300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.094372 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Street Health of Texas, PLLC | Family Medicine | Current | Accepting new patients |
| Integrative Emergency Services Physician Group PA | Current | Accepting new patients |
Locations
2360 Gus Thomasson Rd
Dallas, TX 75228
Phone (314) 301-7071
4115 E Lancaster Ave
Fort Worth, TX 76103
Phone (817) 796-7370
1950 Ephriham Ave
Fort Worth, TX 76164
Phone (817) 813-7075
1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828
3500 Little York Rd
#A5
Houston, TX 77093
Phone (281) 707-7358
2115 S Broadway Ave
Tyler, TX 75701
Phone (903) 907-7002
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.
-
- Urgent Care Clinic/Center
- Denton, TX
- NPI 1770048704
-
- Emergency Medicine Physician
- Fort Worth, TX
- NPI 1285922542
-
- Primary Care Clinic/Center
- Fort Worth, TX
- NPI 1497387419
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1386884286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746079",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746079",
"telephone_number": "773-352-1515",
"fax_number": "312-929-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 EPHRIHAM AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761646670",
"telephone_number": "817-813-7075"
}
],
"practiceLocations": [
{
"address_1": "720 S Main St",
"address_purpose": "LOCATION",
"city": "Keller",
"state": "TX",
"postal_code": "762484936",
"country_code": "US",
"telephone_number": "817-431-2800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHILIPOSE",
"first_name": "LOVELY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-05",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "S0536",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.094372",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3005670",
"state": "OH"
}
],
"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 Sep 16, 2025; 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.