Active NPI
Neda Joby
- Physician Assistant
- Fort Worth, TX
National Provider Identifier
1639780380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA15894
- Practice address
- 1301 N Beach St
Fort Worth, TX 76111-6613 - Phone
- (817) 831-3388
- NPI assigned
- Aug 14, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA15894 | TX | Primary |
Addresses
Primary practice location
1301 N Beach St
Fort Worth, TX 76111-6613
Mailing address
1521 13TH St
Argyle, TX 76226-1983
Other practice location 1
1234 Fm 407 W Ste 200
Northlake, TX 76226-5734
Phone (940) 222-5215
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1234 FM 407
Suite 200
Northlake, TX 76226-5734
Phone (940) 222-5215
2400 Long Prairie Rd
Flower Mound, TX 75022-4800
Phone (940) 222-5215
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA15894 | TX | MD | Physician Assistant |
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Flower Mound, TX
- NPI 1932892510
-
- Urgent Care Clinic/Center
- Northlake, TX
- NPI 1912612920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1639780380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1521 13TH ST",
"city": "ARGYLE",
"state": "TX",
"postal_code": "762261983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 N BEACH ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761116613",
"telephone_number": "817-831-3388"
}
],
"practiceLocations": [
{
"address_1": "1234 Fm 407 W Ste 200",
"address_purpose": "LOCATION",
"city": "Northlake",
"state": "TX",
"postal_code": "762265734",
"country_code": "US",
"telephone_number": "940-222-5215",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOBY",
"first_name": "NEDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-14",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA15894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 May 24, 2023; 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.