Individual provider Active NPI

Nezar Y Jrebi, MD

  • Colon & Rectal Surgery Physician
  • Fort Worth, TX
National Provider Identifier
1659570505
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
S4981 Issued in TX
Practice address
800 8TH Ave Ste 306
Fort Worth, TX 76104-2602
Phone
(682) 224-3748
NPI assigned
Jul 12, 2007
Last updated
Apr 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X S4981 TX Primary

Addresses

Primary practice location

800 8TH Ave Ste 306
Fort Worth, TX 76104-2602

Mailing address

800 8TH Ave Ste 306
Fort Worth, TX 76104-2602
Phone (682) 224-3748

Other practice location 1

3025 N Tarrant Pkwy Ste 100
Fort Worth, TX 76177-8625
Phone (682) 224-3748

Other practice location 2

1866 Keller Pkwy
Fort Worth, TX 76104-7610
Phone (682) 224-3748

Other identifiers 2

IdentifierTypeStateIssuer
ENROLLEDMedicaidIA
ENROLLEDMedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140918000890 WV Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 5991836157
I20200820003870 TX Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 5991836157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Mayo Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Texas Surgical Specialists PLLCGroup PAC ID 8921364100, 32 clinicians

Practice addresses (Care Compare)

800 8TH Ave
Suite 306
Fort Worth, TX 76104-2602
Phone (682) 224-3748

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.42 of 100Reported as group
Quality
55.48
Promoting interoperability
88
Improvement activities
40
Cost
74.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy43
Upper gastrointestinal (GI) endoscopy for acid reflux14

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: nezar.jrebi@ntss.eclinicaldirectplus.com
  • Direct secure messaging: njrebi1741069@direct.texashealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1659570505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 8TH AVE STE 306",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042602",
            "telephone_number": "682-224-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 8TH AVE STE 306",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042602",
            "telephone_number": "682-224-3748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3025 N Tarrant Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761778625",
            "country_code": "US",
            "telephone_number": "682-224-3748",
            "fax_number": "682-841-0039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1866 KELLER PKWY",
            "address_purpose": "LOCATION",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047610",
            "country_code": "US",
            "telephone_number": "682-224-3748",
            "fax_number": "682-841-0039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JREBI",
        "first_name": "NEZAR",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "S4981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.