Active NPI
John M Fackler, M.D.
- Orthopaedic Surgery Physician
- Shenandoah, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- K2687
- Practice address
- 17183 Interstate 45 S
Suite 210
Shenandoah, TX 77385-3312 - Phone
- (936) 321-8000
- Fax
- (936) 271-0122
- NPI assigned
- Aug 18, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | K2687 | TX | Primary |
Addresses
Primary practice location
17183 Interstate 45 S
Suite 210
Shenandoah, TX 77385-3312
Mailing address
17183 Interstate 45 S Ste 210
Shenandoah, TX 77385-3313
Phone (936) 321-8000
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 031123503 | Medicaid | TX | |
| P01570351 | Other | TX | RR MEDICARE |
| 8FX417 | Other | TX | BCBS |
| P01725660 | Other | TX | RR MEDICARE |
| 031123502 | Medicaid | TX | |
| 8FB144 | Other | TX | BLUE CROSS BLUE SHIELD |
| 031123501 | 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
- Orthopedic Surgery
- Education
- Texas Tech University Health Science Center School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16811 Southwest Fwy
Suite 200
Sugar Land, TX 77479-4728
Phone (281) 690-4678
17183 I H 45
Suite 210
Shenandoah, TX 77385-3313
Phone (936) 321-8000
17183 I H 45 S
Shenandoah, TX 77385-3313
17183 Interstate 45 S
Shenandoah, TX 77385-3313
Phone (936) 270-3662
4015 Ih 45
Suite 110
Conroe, TX 77304-5076
Phone (202) 507-0700
7575 San Felipe St
Suite 155
Houston, TX 77063-1777
Phone (713) 266-9955
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 75 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 11 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K2687 | TX | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston Methodist Specialty Physicians | Orthopaedic Surgery | Current | Accepting new patients |
| TMH Physician Associates PLLC | Current | Accepting new patients | |
| TMH Physician Associates PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| Houston Methodist | Past | Accepting new patients |
Locations
4015 Interstate 45 N
Ste 100
Conroe, TX 77304
Phone (936) 270-4600
4015 Interstate 45 N
Ste 110
Conroe, TX 77304
Phone (936) 270-3900
6550 Fannin St
Ste 1150
Houston, TX 77030
Phone (713) 441-2670
6565 Fannin St
#623
Houston, TX 77030
Phone (713) 363-8584
7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955
17183 Interstate 45 S
Ste 210
Shenandoah, TX 77385
Phone (877) 493-3228
16811 Southwest Fwy
Ste 200
Sugar Land, TX 77479
Phone (281) 690-4678
16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800
Interoperability endpoints
- jfackler27301@directhoustonmethodist.org
Organizations & group practices 4
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.
-
- Otolaryngology Physician
- Houston, TX
- NPI 1902614332
Orthopaedic Surgery
-
- Ophthalmology Physician
- Houston, TX
- NPI 1275779225
-
- Orthopaedic Surgery Physician
- Spring, TX
- NPI 1043061351
-
- Nurse Practitioner
- Houston, TX
- NPI 1992178693
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Houston Methodist The Woodlands Hospital
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1184179194
-
dba Houston Methodist Willowbrook Hospital
- General Acute Care Hospital
- Houston, TX
- NPI 1871619254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1447242128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17183 INTERSTATE 45 S STE 210",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773853313",
"telephone_number": "936-321-8000",
"fax_number": "936-271-0122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17183 INTERSTATE 45 S",
"address_2": "SUITE 210",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773853312",
"telephone_number": "936-321-8000",
"fax_number": "936-271-0122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FACKLER",
"first_name": "JOHN",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-18",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "K2687",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "031123503",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01570351",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8FX417",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01725660",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "031123502",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8FB144",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "031123501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.