Individual provider Active NPI

Jared Scott Folwell, M.D.

  • Surgery Physician
  • Jbsa Ft Sam Houston, TX
National Provider Identifier
1619312766
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
R7007 Issued in TX
Practice address
3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234
Phone
(210) 916-1064
Fax
(210) 916-1064
NPI assigned
May 2, 2013
Last updated
Apr 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X R7007 TX Primary
Surgical Critical Care Physician 2086S0102X R7007 TX
Trauma Surgery Physician 2086S0127X R7007 TX
General Practice Physician 208D00000X R7007 TX

Addresses

Primary practice location

3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234

Mailing address

3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504
Phone (210) 539-9582

Other practice location 1

1924 Pine St Ste 501
Abilene, TX 79601-2452
Phone (325) 670-4333

Other practice location 2

Wilford Hall Ambulatory Surgical Center
1100 Wilford Hall Loop, Bldg 4554
JBSA Lackland, TN 78236
Phone (210) 539-9582

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
I20201117000220 TX Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 2264725449 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Texas Tech University Health Science Center School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pcca Texas Intensivists, PLLCGroup PAC ID 7517290109, 19 clinicians
Arlington Physician Services PAGroup PAC ID 8224256961, 43 clinicians
Hendrick Provider NetworkGroup PAC ID 9739162181, 234 clinicians
Central Texas Intensivists PLLCGroup PAC ID 8921446345, 20 clinicians

Practice addresses (Care Compare)

1900 Pine St
Abilene, TX 79601-2432
Phone (800) 655-2656

1924 Pine St
Suite 501
Abilene, TX 79601-2452
Phone (325) 670-4333

600 N Union Ave
New Braunfels, TX 78130-4194
Phone (830) 606-9111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Physician Services PA Surgery CurrentSince Oct 18, 2023 Accepting new patients
Pcca Texas Intensivists, PLLC CurrentSince Apr 1, 2024 Accepting new patients
Central Texas Intensivists, PLLC CurrentSince Mar 12, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Aug 1, 2021 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Jan 22, 2024 Accepting new patients
Hendrick Provider Network CurrentSince Feb 1, 2022 Accepting new patients
McAllen Hospitalist Group, PLLC Surgery CurrentSince Nov 6, 2020 Accepting new patients
Hendrick Provider Network Surgery CurrentSince Feb 1, 2022 Accepting new patients
BHS Physicians Network, Inc CurrentSince Mar 30, 2022 Accepting new patients
University of Texas Health Science Center at San Antonio Surgery Current Accepting new patients
BHS Physicians Network, Inc CurrentSince Mar 30, 2022 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Jan 22, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Aug 1, 2021 Accepting new patients

Locations

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

1924 Pine St
Ste 501
Abilene, TX 79601
Phone (325) 670-4333

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

301 W Expressway 83
McAllen, TX 78503
Phone (956) 467-9552

600 N Union Ave
New Braunfels, TX 78130
Phone (830) 606-9111

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

8811 Village Dr
San Antonio, TX 78217
Phone (210) 297-2000

1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1619312766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "JBSA FT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-539-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "JBSA FT SAM HOUSTON",
            "state": "TX",
            "postal_code": "78234",
            "telephone_number": "210-916-1064",
            "fax_number": "210-916-1064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1924 Pine St Ste 501",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796012452",
            "country_code": "US",
            "telephone_number": "325-670-4333",
            "fax_number": "833-437-1261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Wilford Hall Ambulatory Surgical Center",
            "address_2": "1100 Wilford Hall Loop, Bldg 4554",
            "address_purpose": "LOCATION",
            "city": "JBSA Lackland",
            "state": "TN",
            "postal_code": "78236",
            "country_code": "US",
            "telephone_number": "210-539-9582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOLWELL",
        "first_name": "JARED",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-02",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "R7007",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "TX",
            "license": "R7007",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "TX",
            "license": "R7007",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "R7007",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jbsa Ft Sam Houston, TX

Sources for this page

Verify at the official NPI Registry.