Individual provider Active NPI

Joshua Tyson Worley, DPM

  • Foot & Ankle Surgery Podiatrist
  • Desoto, TX
National Provider Identifier
1639460801
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DPM.200043 Issued in LA
Practice address
714 N Hampton Rd
Desoto, TX 75115-4510
Phone
(972) 316-0902
Fax
(972) 316-1161
NPI assigned
Apr 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X DPM.200043 LA Primary

Addresses

Primary practice location

714 N Hampton Rd
Desoto, TX 75115-4510

Mailing address

502 N Valley Pkwy Ste 2
Lewisville, TX 75067-3437
Phone (972) 316-0902

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201231000882 TX Practitioner - Podiatry 2365611225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Surgery and Wound Care PhysiciansGroup PAC ID 2668539198, 3 clinicians

Practice addresses (Care Compare)

502 N Valley Pkwy
Suite 2
Lewisville, TX 75067-3437
Phone (972) 316-0902

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1416
Removal or shaving of skin growth33
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DPM.200043LAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Surgery and Wound Care Physicians Foot & Ankle Surgery CurrentSince Dec 23, 2020 Accepting new patients

Locations

714 N Hampton Rd
Desoto, TX 75115
Phone (972) 223-3266

6161 State Highway 161
Ste 125
Irving, TX 75038
Phone (469) 284-8990

502 N Valley Pkwy
#2
Lewisville, TX 75067
Phone (972) 316-0902

5804 Coit Rd
Ste 100
Plano, TX 75023
Phone (972) 424-3505

Interoperability endpoints

  • Direct secure messaging: jworley@footspecialistsshreveport.mdlogic.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1639460801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N VALLEY PKWY STE 2",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673437",
            "telephone_number": "972-316-0902",
            "fax_number": "972-316-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 N HAMPTON RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154510",
            "telephone_number": "972-316-0902",
            "fax_number": "972-316-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORLEY",
        "first_name": "JOSHUA",
        "middle_name": "TYSON",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "LA",
            "license": "DPM.200043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

Verify at the official NPI Registry.