Individual provider Active NPI

Mario Alberto Mejia, MD

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1427686351
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
U6760 Issued in TX
Practice address
100 N Forest Park Blvd Ste 120
Fort Worth, TX 76102-1813
Phone
(817) 250-7948
NPI assigned
Mar 27, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X U6760 TX Primary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X

Addresses

Primary practice location

100 N Forest Park Blvd Ste 120
Fort Worth, TX 76102-1813

Mailing address

1700 E Saunders St
Laredo, TX 78041-5474
Phone (956) 796-5000

Other practice location 1

1700 E Saunders St
Laredo, TX 78041-5474
Phone (956) 796-5000 ext. 4935

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
I20231019000027 TX Practitioner - Family Practice 8224483714 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U6760TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Single Specialty CurrentSince Nov 1, 2023 Accepting new patients
Texas Health Physicians Group CurrentSince Nov 1, 2023 Accepting new patients
Texas Health Physicians Group Single Specialty Current Accepting new patients

Locations

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

100 N Forest Park Blvd
Ste 120
Fort Worth, TX 76102
Phone (817) 250-7948

Interoperability endpoints

  • Direct secure messaging: mmejia2429846@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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1427686351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E SAUNDERS ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415474",
            "telephone_number": "956-796-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N FOREST PARK BLVD STE 120",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761021813",
            "telephone_number": "817-250-7948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 E Saunders St",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780415474",
            "country_code": "US",
            "telephone_number": "956-796-5000 x4935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEJIA",
        "first_name": "MARIO",
        "middle_name": "ALBERTO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-27",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U6760",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.