Active NPI
Max S Hughes, DO
- Family Medicine Physician
- Fort Worth, TX
National Provider Identifier
1639237258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- J2097
- Practice address
- 6302 A Jacksboro Hwy
Fort Worth, TX 76135 - Phone
- (817) 237-8273
- Fax
- (817) 237-0374
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | J2097 | TX | Primary |
Addresses
Primary practice location
6302 A Jacksboro Hwy
Fort Worth, TX 76135
Mailing address
6302 A Jacksboro Hwy
Fort Worth, TX 76135
Phone (817) 237-8273
Other names 1
- Scott Max Hughes
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100203000131 | TX | Practitioner - Family Practice | 7113060872 | Practice locations: Fort Worth, TX; Lake Worth, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1991
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6302 A Jacksboro Hwy
Lake Worth, TX 76135
6302 Lake Worth Blvd
Suite a
Fort Worth, TX 76135-3607
Phone (817) 237-8273
6302A Jacksboro Hwy
Fort Worth, TX 76135
Phone (817) 237-8273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J2097 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jerry T. Davis D.O.,P.a. | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1215217229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449532800000",
"number": "1639237258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6302 A JACKSBORO HWY",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76135",
"telephone_number": "817-237-8273",
"fax_number": "817-237-0374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6302 A JACKSBORO HWY",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76135",
"telephone_number": "817-237-8273",
"fax_number": "817-237-0374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHES",
"first_name": "MAX",
"middle_name": "S",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2015-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "J2097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SCOTT",
"last_name": "HUGHES",
"middle_name": "MAX",
"credential": "D.O.",
"code": "2",
"type": "Professional Name"
}
]
}
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 Dec 8, 2015; 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.