Active NPI
Mario Alberto Mejia, MD
- Family Medicine Physician
- Fort Worth, TX
National Provider Identifier
1427686351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- U6760
- 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
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 | U6760 | TX | Primary |
| Student in an Organized Health Care Education/Training Program | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U6760 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Physicians Group | Single Specialty | Current | Accepting new patients |
| Texas Health Physicians Group | Current | 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
- 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.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1174573596
Single Specialty
-
- Sleep Disorder Diagnostic Clinic/Center
- Fort Worth, TX
- NPI 1114395969
Single Specialty
-
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1174992051
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.