John Patrick Fardal, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

Q5649 Issued in TX

Practice address

1300 W Koenig LN Ste 140
Austin, TX 78756-1425

Phone

(512) 363-9043

Fax

(512) 675-8598

NPI assigned

Jun 3, 2013

Last updated

Aug 7, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of North Texas HSC, College of Osteopathic Med, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Paradigm Homecare Home health agency, San Angelo, TX, CCN 747233
• Angels Care Home Health of San Angelo Home health agency, San Angelo, TX, CCN 679429
• Centerwell Home Health Home health agency, Eastland, TX, CCN 457128
• Shannon Medical Center Hospital, San Angelo, TX, CCN 450571

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jfardal70806@shannonhealth.direct-ci.com
• Direct secure messaging: john.fardal.p1@direct.lscctx.nextgenshare.com

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.

• Shannon Clinic

  • Family Medicine Physician
  • San Angelo, TX
  • NPI 1770587149
  Medicare reassignment NPD
• Brentwood Family Practice PLLC

  • Family Medicine Physician
  • Austin, TX
  • NPI 1093639254
  NPD (past) Authorized official

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

• 1St Texas Home Health of San Angelo, Inc.

  dba Angels Care Home Health of San Angelo

  • Home Health Agency
  • San Angelo, TX
  • NPI 1942205125
  Care Compare affiliation
• Integracare Home Health Services Inc.

  dba CenterWell Home Health

  • Home Health Agency
  • Eastland, TX
  • NPI 1326057779
  Care Compare affiliation
• Shannon Medical Center

  • General Acute Care Hospital
  • San Angelo, TX
  • NPI 1992707228
  Care Compare affiliation
• West Texas Healthcare LLC

  dba Paradigm Home Health

  • Home Health Agency
  • San Angelo, TX
  • NPI 1518139237
  Care Compare affiliation

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1578900387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W KOENIG LN STE 140",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787561425",
            "telephone_number": "512-363-9043",
            "fax_number": "512-675-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W KOENIG LN STE 140",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787561425",
            "telephone_number": "512-363-9043",
            "fax_number": "512-675-8598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARDAL",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-03",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q5649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Far West Optical PC
• Katherine K Farady, MD
• Maria Farag, DPT
• Peter Farag, MD
• Laura Farb, LAC
• Nabeel Farhataziz, M.D.
• Anwar Farhood, MD
• Emma Leigh Faris, CPM, LM, L.AC.
• Ilona Farkas, NP
• Jennifer Gayle Farley, APRN, CPNP-AC

• Family Medicine Physician in Austin, TX
• Providers in Austin, 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 Aug 7, 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.

Verify at the official NPI Registry.