Individual provider Active NPI

John Douglas Overbeck, M.D.

  • Cardiovascular Disease Physician
  • Irving, TX
National Provider Identifier
1508865536
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G9376 Issued in TX
Practice address
701 Tuscan
Suite 205
Irving, TX 75039-3834
Phone
(972) 253-2505
Fax
(833) 944-1908
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G9376 TX Primary

Addresses

Primary practice location

701 Tuscan
Suite 205
Irving, TX 75039-3834

Mailing address

701 Tuscan Dr Ste 205
Irving, TX 75039-3838
Phone (972) 253-2505

Other identifiers 1

IdentifierTypeStateIssuer
1354078 03MedicaidTX

Other names 1

  • Dr. J. Douglas Overbeck Other name

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
I20090122000071 TX Practitioner - Cardiovascular Disease (Cardiology) 1658435516 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Texas Southwestern Medical School at Dallas, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartplace PLLCGroup PAC ID 2769386473, shared by 4 NPIs, 90 clinicians

Practice addresses (Care Compare)

701 Tuscan Dr
Suite 205
Irving, TX 75039-3838
Phone (972) 253-2505

902 W Randol Mill Rd
Suite 200
Arlington, TX 76012-2581
Phone (817) 461-3003

Hospital & facility affiliations

  • Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G9376TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Jul 7, 2018 Accepting new patients
Healthtexas Provider Network Cardiovascular Disease CurrentSince Jul 7, 2018 Accepting new patients
Heartplace, PLLC Cardiovascular Disease Current Accepting new patients
Heartplace, PLLC Cardiovascular Disease CurrentSince Jul 1, 2020 Accepting new patients
Heartplace, PLLC CurrentSince Jul 1, 2020 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Heartplace, PLLC Cardiovascular Disease Past Accepting new patients
Cardiovascular Specialty Associates of North Texas, P.a. Past Accepting new patients

Locations

341 Cool Springs Blvd
Ste 305
Franklin, TN 37067
Phone (972) 391-1915

400 W Arbrook Blvd
Ste 200
Arlington, TX 76014
Phone (817) 468-2053

902 W Randol Mill Rd
Ste 200
Arlington, TX 76012
Phone (817) 461-3003

16980 Dallas Pkwy
Ste 200
Dallas, TX 75248
Phone (214) 343-8565

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

701 Tuscan Dr
Ste 205
Irving, TX 75039
Phone (972) 253-2505

2800 E Broad St
Ste 318
Mansfield, TX 76063
Phone (214) 946-9898

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

399 W Campbell Rd
Ste 300
Richardson, TX 75080
Phone (972) 665-9100

Interoperability endpoints

  • Direct secure messaging: john.overbeck.1@14273.direct.athenahealth.com
  • Direct secure messaging: john.overbeck@ushv.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/14273/brand/6/csg/1/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1508865536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TUSCAN DR STE 205",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393838",
            "telephone_number": "972-253-2505",
            "fax_number": "833-944-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 TUSCAN",
            "address_2": "SUITE 205",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393834",
            "telephone_number": "972-253-2505",
            "fax_number": "833-944-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERBECK",
        "first_name": "JOHN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "G9376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1354078 03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J. DOUGLAS",
            "last_name": "OVERBECK",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.