Individual provider Active NPI

Jonathan Norman Hardy, DO

  • Emergency Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1639673056
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
S5916 Issued in TX
Practice address
1500 S Main St
Ft Worth, TX 76104-4941
Phone
(817) 702-1173
NPI assigned
Mar 20, 2018
Last updated
Apr 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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 S5916 TX Primary

Addresses

Primary practice location

1500 S Main St
Ft Worth, TX 76104-4941

Mailing address

1500 S Main St
Ft Worth, TX 76104-4941
Phone (817) 702-1173

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
I20200421002645 TX Practitioner - Emergency Medicine 7618307349 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Century Integrated Partners, IncGroup PAC ID 6406151703, 330 clinicians
Integrative Emergency Services Physician Group PAGroup PAC ID 0749447936, 71 clinicians

Practice addresses (Care Compare)

100 Hillcrest Med Blvde
Waco, TX 76712-8897
Phone (254) 202-2000

1500 S Main St
1St FL Outpatient
Ft. Worth, TX 76104-4917
Phone (817) 702-3431

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.56
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
43.55 of 100Reported as group
Quality
7.63
Improvement activities
40
Cost
81.19

Merit-based Incentive Payment System (MIPS)

Final score
99.43 of 100Reported as group
Quality
93.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S5916TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Emergency Services Physician Group PA Emergency Medicine CurrentSince May 1, 2020 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Jul 1, 2021 Accepting new patients
Lake Granbury Hospital-Based Professional Services Emergency Medicine CurrentSince Feb 12, 2024 Accepting new patients
Acclaim Physician Group, Inc CurrentSince May 1, 2020 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince Mar 16, 2024 Accepting new patients

Locations (25 of 30)

4343 N Josey Ln
Carrollton, TX 75010
Phone (972) 394-2280

3500 Gaston Ave
Dallas, TX 75246

2201 W Lampasas St
Ennis, TX 75119
Phone (469) 256-2458

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

1500 S Main St
Fl 1
Ft Worth, TX 76104
Phone (817) 702-1451

1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000

2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412

7200 Cambridge St
#B
Houston, TX 77030
Phone (713) 798-0950

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

600 S Bonham St
Mexia, TX 76667
Phone (254) 562-5332

18057 Highway 105 W
Ste 220
Montgomery, TX 77356
Phone (936) 228-9489

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

4500 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 487-2786

4500 E Sam Houston Pkwy S
Ste 235
Pasadena, TX 77505

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

511 E Hospital St
San Augustine, TX 75972
Phone (936) 275-3446

3515 Rayford Rd
Spring, TX 77386
Phone (832) 510-6576

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.

Hospital & facility affiliations 2

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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1639673056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761044941",
            "telephone_number": "817-702-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761044941",
            "telephone_number": "817-702-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "JONATHAN",
        "middle_name": "NORMAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "S5916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.