Active NPI
John H Haynes, MD
- Family Medicine Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H1101
- Practice address
- 1500 S Main St
Fort Worth, TX 76104-4917 - Phone
- (817) 921-3431
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- 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 | H1101 | TX | Primary |
Addresses
Primary practice location
1500 S Main St
Fort Worth, TX 76104-4917
Mailing address
1412 May St
Fort Worth, TX 76104-7639
Phone (817) 702-2450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139722621 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Louisiana State University School of Medicine in Shreveport, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1202 S Tyler St
Attention Managed Care Departmen
Covington, LA 70433-2330
1520 Hwy 22 W
Madisonville, LA 70447-9441
Phone (985) 773-1600
17240 Heartbeat Cir
Covington, LA 70435-5757
Phone (985) 898-4001
Hospital & facility affiliations
- St. Tammany Hospital Home Health
- St Tammany Parish Hospital
- Ochsner Medical Center Acute
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.38 of 100
- Quality
- 80.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.69
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Tammany Parish Hospital Service District No 1 | Current | Accepting new patients | |
| Acclaim Physician Group, Inc | Current | Accepting new patients | |
| St. Tammany Parish Hospital Service District No 1 | Past | Accepting new patients |
Locations
17240 Heartbeat Cir
Covington, LA 70435
Phone (985) 867-3073
1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743
1520 Highway 22 W
Madisonville, LA 70447
Phone (985) 773-1600
1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701
1412 May St
Ft Worth, TX 76104
Phone (817) 625-8818
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
Interoperability endpoints
- jhaynes4960@direct.jpshealth.org
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Covington, LA
- NPI 1083793582
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1780076562
-
- General Acute Care Hospital
- Covington, LA
- NPI 1598798597
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
- Internal Medicine Physician
- Covington, LA
- NPI 1083793582
Hospital
-
- Pulmonary Disease Physician
- Covington, LA
- NPI 1285285874
Hospital
-
- Home Health Agency
- Madisonville, LA
- NPI 1568483550
-
- General Acute Care Hospital
- Covington, LA
- NPI 1598798597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525219200000",
"number": "1497775696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 MAY ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761047639",
"telephone_number": "817-702-2450",
"fax_number": "817-702-8445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S MAIN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044917",
"telephone_number": "817-921-3431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "JOHN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2018-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "H1101",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139722621",
"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 May 2, 2018; 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.