Active NPI
Donnell Khalid Bowen, D.O.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- R5976
- Practice address
- 1325 Pennsylvania Ave Ste 550
Fort Worth, TX 76104-2148 - Phone
- (817) 250-7190
- Fax
- (817) 250-0116
- NPI assigned
- Jun 18, 2007
- Last updated
- Aug 13, 2025
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | R5976 | TX | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 2015-01745 | NC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | R5976 | TX | Primary |
| Surgery Physician | 208600000X | 2015-01745 | NC |
Addresses
Primary practice location
1325 Pennsylvania Ave Ste 550
Fort Worth, TX 76104-2148
Mailing address
3551 Roger Brooke Drive
San Antonio Military Medical Center
San Antonio, TX 78234
Other practice location 1
3851 Roger Brooke Dr
San Antonio Military Medical Center
Fort Sam Houston, TX 78234-4501
Phone (954) 775-4105
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dbowen2659774@Direct.TexasHealth.org | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1325 Pennsylvania Ave
Suite 550
Fort Worth, TX 76104-2148
Phone (817) 250-7190
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015-01745 | NC | MD | Surgery Physician |
| R5976 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMH Physician Associates PLLC | Current | Accepting new patients | |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Texas Health Physicians Group | Current | Accepting new patients | |
| TMH Physician Associates PLLC | Current | Accepting new patients |
Locations
1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803
1325 Pennsylvania Ave
Ste 550
Ft Worth, TX 76104
Phone (817) 250-7190
16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800
Interoperability endpoints
- dbowen2659774@direct.texashealth.org
- dbowen403971@directhoustonmethodist.org
Organizations & group practices 5
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.
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- Ophthalmology Physician
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- NPI 1275779225
-
dba Sleep Healers
- Sleep Disorder Diagnostic Clinic/Center
- Fort Worth, TX
- NPI 1114395969
-
dba Sleep Healers
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1174992051
-
- Orthopaedic Surgery Physician
- Spring, TX
- NPI 1043061351
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lake Granbury Medical Center
- General Acute Care Hospital
- Granbury, TX
- NPI 1114998911
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1609071828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DRIVE",
"address_2": "SAN ANTONIO MILITARY MEDICAL CENTER",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 PENNSYLVANIA AVE STE 550",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042148",
"telephone_number": "817-250-7190",
"fax_number": "817-250-0116"
}
],
"practiceLocations": [
{
"address_1": "3851 Roger Brooke Dr",
"address_2": "San Antonio Military Medical Center",
"address_purpose": "LOCATION",
"city": "Fort Sam Houston",
"state": "TX",
"postal_code": "782344501",
"country_code": "US",
"telephone_number": "954-775-4105",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOWEN",
"first_name": "DONNELL",
"middle_name": "KHALID",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-18",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "R5976",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NC",
"license": "2015-01745",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TX",
"license": "R5976",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2015-01745",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dbowen2659774@Direct.TexasHealth.org",
"affiliation": "N",
"endpointDescription": "Health Information Exchange",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1325 Pennsylvania Ave Ste 550",
"city": "Fort Worth",
"state": "TX",
"country_code": "US",
"postal_code": "761042148",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 13, 2025; 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.