Individual provider Active NPI

John M Fackler, M.D.

  • Orthopaedic Surgery Physician
  • Shenandoah, TX
National Provider Identifier
1447242128
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
K2687 Issued in TX
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

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
031123503MedicaidTX
P01570351OtherTXRR MEDICARE
8FX417OtherTXBCBS
P01725660OtherTXRR MEDICARE
031123502MedicaidTX
8FB144OtherTXBLUE CROSS BLUE SHIELD
031123501MedicaidTX

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
I20111019000477 TX Practitioner - Orthopedic Surgery 5597850560 Reassigns benefits to 2 organizations

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
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians

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

ProcedureNumber of procedures
Knee replacement75
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

LicenseStateTypeSpecialty
K2687TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Methodist Specialty Physicians Orthopaedic Surgery CurrentSince Sep 2, 2025 Accepting new patients
TMH Physician Associates PLLC CurrentSince Jan 9, 2025 Accepting new patients
TMH Physician Associates PLLC Orthopaedic Surgery CurrentSince Jan 9, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.