Individual provider Active NPI

John Walter Freeman, M.D.

  • Obstetrics & Gynecology Physician
  • Fort Worth, TX
National Provider Identifier
1669415147
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
F3967 Issued in TX
Practice address
10840 Texas Health TRL Ste 250
Fort Worth, TX 76244-6850
Phone
(817) 750-1310
Fax
(817) 750-1311
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X F3967 TX Primary

Addresses

Primary practice location

10840 Texas Health TRL Ste 250
Fort Worth, TX 76244-6850

Mailing address

10840 Texas Health TRL Ste 250
Fort Worth, TX 76244-6850
Phone (817) 750-1310

Other identifiers 3

IdentifierTypeStateIssuer
160030021OtherTXRAILROAD MEDICARE
120469506MedicaidTX
120469504MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jfreeman14961@Direct.TexasHealth.org Health Information Exchange (HIE)

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
I20100429000464 TX Practitioner - Obstetrics/Gynecology 2961594759 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical Branch at Galveston, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

10840 Texas Health TRL
Suite 110
Fort Worth, TX 76244-6847
Phone (817) 250-6570

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F3967TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Nov 1, 2023 Accepting new patients
Texas Health Physicians Group Obstetrics & Gynecology CurrentSince Nov 1, 2023 Accepting new patients
Medical Clinic of North Texas, PLLC Obstetrics & Gynecology CurrentSince Oct 3, 2018 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Oct 3, 2018 Accepting new patients
Medical Clinic of North Texas, PLLC Obstetrics & Gynecology Current Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Wellmed Medical Group, PA PastSince Jul 1, 2022 Accepting new patients

Locations

809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

10840 Texas Health Trl
Ste 110
Fort Worth, TX 76244
Phone (682) 212-6437

5450 Clearfork Main St
Ste 430
Fort Worth, TX 76109
Phone (817) 336-7191

10840 Texas Health Trl
Ste 250
Fort Worth, TX 76244
Phone (817) 306-5630

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222

Interoperability endpoints

  • Direct secure messaging: jfreeman14961@direct.texashealth.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1669415147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10840 TEXAS HEALTH TRL STE 250",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446850",
            "telephone_number": "817-750-1310",
            "fax_number": "817-750-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10840 TEXAS HEALTH TRL STE 250",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446850",
            "telephone_number": "817-750-1310",
            "fax_number": "817-750-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "JOHN",
        "middle_name": "WALTER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2024-10-11",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "F3967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "160030021",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120469506",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120469504",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfreeman14961@Direct.TexasHealth.org",
            "affiliation": "N",
            "endpointDescription": "HIE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "10840 Texas Health Trl Ste 250",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762446850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.