Jason Albert Kouri, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

P3183 Issued in TX

Practice address

903 Summit Ave
Fort Worth, TX 76102-3421

Phone

(817) 877-5353

Fax

(817) 877-5357

NPI assigned

Jun 22, 2005

Last updated

Jun 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jason.kouri@txmowe.eclinicaldirectplus.com

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.

• Texas Physicians Specialized Medicine PLLC

  • General Practice Physician
  • Irving, TX
  • NPI 1619373453
  Medicare reassignment NPD Authorized official
• Garland Integrated Healthcare PLLC

  • Adult Medicine Physician
  • Garland, TX
  • NPI 1083082481
  Medicare reassignment Authorized official
• Align Health PLLC

  • Family Medicine Physician
  • Grapevine, TX
  • NPI 1316489156
  Medicare reassignment NPD
• Gulf Coast Healthcare

  • Multi-Specialty Clinic/Center
  • Seabrook, TX
  • NPI 1366011900
  Medicare reassignment NPD
• Spine Health and Wellness, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Irving, TX
  • NPI 1891357026
  Medicare reassignment NPD
• World Medical Group PLLC

  • Family Medicine Physician
  • Arlington, TX
  • NPI 1215212345
  Medicare reassignment
• Rockport Physical Medicine PA

  • Family Nurse Practitioner
  • Rockport, TX
  • NPI 1851745558

  Adult Medicine

  NPD (past) Authorized official
• Affordable Chiropractic, LLC

  • Chiropractor
  • Garland, TX
  • NPI 1750996336
  NPD
• Texas Physicians Specialized Medicine PLLC

  • Physical Medicine & Rehabilitation Physician
  • Fort Worth, TX
  • NPI 1205583242
  NPD
• Advanced Medical Pain& Rehabilitation Center

  • Chiropractor
  • McKinney, TX
  • NPI 1457605826
  NPD (past)
• Health First Medical Pain and Rehabilitation Center PLLC

  • Chiropractor
  • Flower Mound, TX
  • NPI 1548514912
  NPD (past)
• Latch D, PLLC

  dba Park Place Health Solutions

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1801443361
  NPD (past)

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1649276965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 SUMMIT AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761023421",
            "telephone_number": "817-877-5353",
            "fax_number": "817-877-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 SUMMIT AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761023421",
            "telephone_number": "817-877-5353",
            "fax_number": "817-877-5357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 S Main St Ste 305",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760517506",
            "country_code": "US",
            "telephone_number": "817-251-0550",
            "fax_number": "817-251-0599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOURI",
        "first_name": "JASON",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "P3183",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A63589",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A635890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen S Kotara, PA
• Aashay Kothari
• Harikrishna Kotra, MD
• Danielle Marie Kotzer, LPC
• Jeandaniel Kouowa, RN
• Themistoklis Kourkoumpetis, MD, MPH
• Raffy Kouyoumdjian, DMD
• Adrienn Kovacs
• Ewa Kowal
• Zachary J Kowalski, LCDC, LMSW

• Adult Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Adult Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.