Individual provider Active NPI

Ted F Truly, MD

  • Internal Medicine Physician
  • Denison, TX
National Provider Identifier
1447209531
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K1108 Issued in TX
Practice address
5012 S US Highway 75
Suite 300
Denison, TX 75020-4587
Phone
(903) 416-6010
Fax
(903) 416-6183
NPI assigned
May 8, 2006
Last updated
Jan 29, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K1108 TX Primary

Addresses

Primary practice location

5012 S US Highway 75
Suite 300
Denison, TX 75020-4587

Mailing address

5012 S US Highway 75 Ste 300
Att: Billing
Denison, TX 75020-4589
Phone (903) 416-6010

Other identifiers 1

IdentifierTypeStateIssuer
041735401MedicaidTX

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
I20100706000475 TX Practitioner - Internal Medicine 3779626197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical Branch at Galveston, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TexomacareGroup PAC ID 3678555307, 47 clinicians

Practice addresses (Care Compare)

5012 S US Hwy 75
Suite 300
Denison, TX 75020-4589
Phone (903) 416-6015

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texomacare Internal Medicine CurrentSince Jun 3, 1996 Accepting new patients
Texomacare CurrentSince Jun 3, 1996 Accepting new patients
Texoma Hospital Partners, LLC PastSince Apr 30, 2003 Accepting new patients

Locations

5012 US Highway 75
Denison, TX 75020
Phone (903) 416-1726

5012 US Highway 75
Ste 100
Denison, TX 75020
Phone (903) 416-6325

5012 US Highway 75
Ste 300
Denison, TX 75020
Phone (903) 416-6025

Interoperability endpoints

  • Direct secure messaging: ted.truly@tc.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1447209531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75 STE 300",
            "address_2": "ATT: BILLING",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204589",
            "telephone_number": "903-416-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75",
            "address_2": "SUITE 300",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204587",
            "telephone_number": "903-416-6010",
            "fax_number": "903-416-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRULY",
        "first_name": "TED",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K1108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041735401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.