Active NPI
Jill A Gramer, DO
- Family Medicine Physician
- Fort Worth, TX
National Provider Identifier
1447229224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K3212
- Practice address
- 6312 Azle Ave # 200
Fort Worth, TX 76135-2442 - Phone
- (682) 841-1056
- Fax
- (682) 841-1161
- NPI assigned
- Mar 15, 2006
- Last updated
- Sep 8, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K3212 | TX | Primary |
Addresses
Primary practice location
6312 Azle Ave # 200
Fort Worth, TX 76135-2442
Mailing address
6312 Azle Ave Ste 200
Lake Worth, TX 76135-2442
Phone (682) 841-1056
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080163271 | Other | TX | RAILROAD MEDICARE |
| 847577 | Other | TX | BCBS |
| 104213702 | Medicaid | TX |
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
- Oklahoma State University College of Osteopathic Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
855 Davis Blvd
Suite 500
Southlake, TX 76092-8218
Phone (817) 912-1771
Hospital & facility affiliations
- Enhabit Home Health
- Encompass Home Health of DFW
- Pinnacle Home Health Care Services
- Nourish Homehealth and Therapy Services
- Mission Care Home Health Services
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modern Medical House Calls PLLC | Current | Accepting new patients | |
| Jill Gramer DO PA | Family Medicine | Current | Accepting new patients |
| Lake Country Family Medicine, P.a. | Family Medicine | Current | Accepting new patients |
Locations
8101 Boat Club Rd
Ste 240
Fort Worth, TX 76179
Phone (817) 694-2449
8465 Boat Club Rd
Ste 115
Ft Worth, TX 76179
Phone (817) 260-0535
6312 Azle Ave
Ste 200
Lake Worth, TX 76135
Phone (682) 841-1056
855 Davis Blvd
Ste 500
Southlake, TX 76092
Phone (817) 912-1771
Interoperability endpoints
- jill.gramer.1@18546.direct.athenahealth.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.
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1578884029
-
- General Practice Physician
- Southlake, TX
- NPI 1043635931
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1629392063
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mission Care Home Health Services
- Home Health Agency
- Arlington, TX
- NPI 1053501528
-
dba Nourish Homehealth and Therapy Services
- Home Health Agency
- Carrollton, TX
- NPI 1497059554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1447229224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6312 AZLE AVE STE 200",
"city": "LAKE WORTH",
"state": "TX",
"postal_code": "761352442",
"telephone_number": "682-841-1056",
"fax_number": "682-841-1161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6312 AZLE AVE # 200",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761352442",
"telephone_number": "682-841-1056",
"fax_number": "682-841-1161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAMER",
"first_name": "JILL",
"middle_name": "A",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-15",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "K3212",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080163271",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "847577",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104213702",
"state": "TX"
}
],
"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 8, 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.
- 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.