Warren Keith Worsham, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

P3834 Issued in TX

Practice address

3500 W Wheatland Rd
Dallas, TX 75237-3460

Phone

(214) 947-5400

Fax

(214) 947-5476

NPI assigned

May 11, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Family Practice

Education

University of Texas Medical Branch at Galveston, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physician Associates of Southwest DallasGroup PAC ID 3274519293, 37 clinicians

Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians

Concord Medical Group PLLCGroup PAC ID 0446296818, 189 clinicians

Hospitalist Medicine Physicians of Texas - Cypress PLLCGroup PAC ID 5799217451, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• TMC- Bonham Hospital Hospital, Bonham, TX, CCN 451370
• Limestone Medical Center Hospital, Groesbeck, TX, CCN 451303
• Eastland Memorial Hospital Hospital, Eastland, TX, CCN 671303
• Eastland Memorial Hospital Hospital, Eastland, TX, CCN 450411

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: warren.worsham.1@14590.direct.athenahealth.com

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.

• Hospitalist Medicine Physicians of Texas - Cypress PLLC

  • Internal Medicine Physician
  • Bonham, TX
  • NPI 1184458838
  Medicare reassignment Care Compare group NPD
• Physician Associates of Southwest Dallas

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1801845425
  Medicare reassignment Care Compare group NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment Care Compare group
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment Care Compare group
• Moore County Hospital District

  • Critical Access Hospital
  • Dumas, TX
  • NPI 1700991700

  Family Medicine

  Medicare reassignment NPD
• Stephens Memorial Hospital District

  • Urgent Care Clinic/Center
  • Breckenridge, TX
  • NPI 1518361369
  Medicare reassignment NPD
• Terry Memorial Hospital District

  • General Practice Physician
  • Brownfield, TX
  • NPI 1619991171
  Medicare reassignment NPD
• Texas Medicine Resources, LLP

  • Emergency Medicine Physician
  • Fort Worth, TX
  • NPI 1376581900
  Medicare reassignment NPD
• Concord North Texas, PLLC

  • Emergency Medicine Physician
  • Bonham, TX
  • NPI 1952761173
  Medicare reassignment
• South Central Physicians PLLC

  • Hospitalist Physician
  • Lubbock, TX
  • NPI 1427611854
  Medicare reassignment
• Stephens Memorial Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Breckenridge, TX
  • NPI 1205257029
  NPD
• Stephens Memorial Hospital District

  • Rural Health Clinic/Center
  • Breckenridge, TX
  • NPI 1336560382
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eastland Memorial Hospital District

  • Critical Access Hospital
  • Eastland, TX
  • NPI 1437851680
  Care Compare affiliation
• Fannin County Hospital Authority

  • Critical Access Hospital
  • Bonham, TX
  • NPI 1760417646
  Care Compare affiliation
• South Limestone Hospital District

  • Critical Access Hospital
  • Groesbeck, TX
  • NPI 1861487779
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1497073878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 W WHEATLAND ROAD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75237",
            "telephone_number": "214-947-5400",
            "fax_number": "214-947-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W WHEATLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373460",
            "telephone_number": "214-947-5400",
            "fax_number": "214-947-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORSHAM",
        "first_name": "WARREN",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-11",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10036703",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P3834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Worley, OTR
• Rabecca Alicia Worley
• Daniel Aaron Worrel, M.D.
• Paul S. Worrell, D.O.
• Shelby Worsham
• Worth Medical Company, LLC
• Anne Worth, EDD, LPC
• Bettina Wortham
• Tiffany S. Wortham, LCSW
• Emily Kathryn Worthington, PA-C

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.

Verify at the official NPI Registry.