Active NPI
Eva J Bailey, M.D.
- Pain Medicine Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- H5299
- Practice address
- 823 Pennsylvania Ave
Fort Worth, TX 76104-2224 - Phone
- (817) 332-3664
- Fax
- (817) 882-9888
- NPI assigned
- May 23, 2005
- 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 |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | H5299 | TX | Primary |
Addresses
Primary practice location
823 Pennsylvania Ave
Fort Worth, TX 76104-2224
Mailing address
PO Box 2457
Fort Worth, TX 76113-2457
Phone (817) 332-3664
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079577501 | Medicaid | TX | |
| 0040CG | Other | TX | BCBSTX GROUP ID |
| 038391101 | Medicaid | TX | |
| 82931G | Other | TX | BCBSTX PROVIDER ID |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Eastern Virginia Medical School, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
823 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone (817) 332-3664
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Pain Medicine Associates PA | Current | Accepting new patients |
Locations
1401 Henderson St
Fort Worth, TX 76102
Phone (817) 924-2116
311 University Dr
Fort Worth, TX 76107
Phone (817) 207-0281
823 Pennsylvania Ave
Ft Worth, TX 76104
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
Interoperability endpoints
- eva.bailey.1@20286.direct.athenahealth.com
- https://api.platform.athenahealth.com/20286/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Fort Worth, TX
- NPI 1275631459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700524800000",
"number": "1669476990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2457",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761132457",
"telephone_number": "817-332-3664",
"fax_number": "817-882-9888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "823 PENNSYLVANIA AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042224",
"telephone_number": "817-332-3664",
"fax_number": "817-882-9888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "EVA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-23",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "TX",
"license": "H5299",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "079577501",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX GROUP ID",
"identifier": "0040CG",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038391101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX PROVIDER ID",
"identifier": "82931G",
"state": "TX"
}
],
"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 Nov 21, 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.