Individual provider Active NPI

Michael William Hart, MD

  • Emergency Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1598795189
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
J8187 Issued in TX
Practice address
6006 Camp Bowie Blvd
Fort Worth, TX 76116-5620
Phone
(817) 984-1026
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X J8187 TX Primary

Addresses

Primary practice location

6006 Camp Bowie Blvd
Fort Worth, TX 76116-5620

Mailing address

2360 Dean Way
Southlake, TX 76092-1379
Phone (817) 527-3470

Other practice location 1

1303 Mabee St
Stamford, TX 79553-7813
Phone (325) 773-5733

Other identifiers 1

IdentifierTypeStateIssuer
111729303MedicaidTX

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
I20100405000144 TX Practitioner - Internal MedicinePractitioner - Family Practice 4587790233

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jones County Regonial Healthcare System Past Accepting new patients
Stamford Hospital District Past Accepting new patients
Jojoha, LLC PastSince Jan 1, 2010 Accepting new patients
Complete Emergency Care Southlake LLC Past Accepting new patients
Jones County Regonial Healthcare System Past Accepting new patients
Jones County Regional Healthcare System Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1598795189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 DEAN WAY",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760921379",
            "telephone_number": "817-527-3470",
            "fax_number": "817-527-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6006 CAMP BOWIE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165620",
            "telephone_number": "817-984-1026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1303 Mabee St",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "TX",
            "postal_code": "795537813",
            "country_code": "US",
            "telephone_number": "325-773-5733",
            "fax_number": "325-773-2456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "MICHAEL",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J8187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111729303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.