NPIMap

Individual provider Active NPI

Jeffrey Chad Gahan, JEFFREY GAHAN

  • Urology Physician
  • Fort Worth, TX
National Provider Identifier
1679713960
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
P3325 Issued in TX
Practice address
600 S Main St
Ft Worth, TX 76104-2410
Phone
(305) 397-7025
NPI assigned
Feb 25, 2009
Last updated
Apr 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TRN11744 FL
Urology Physician 208800000X P3325 TX Primary

Addresses

Primary practice location

600 S Main St
Ft Worth, TX 76104-2410

Mailing address

PO Box 845347
Dallas, TX 75284-5347
Phone (305) 397-7025

Other practice location 1

1400 NW 10th Ave
Dominion Tower, 5th floor
Miami, FL 33136-1000
Phone (305) 243-6090

Other names 1

  • Jeffrey Gahan Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120801000462 TX Practitioner - Urology 3476719766 Reassigns benefits to 1 organization
I20240726000368 NC Practitioner - Urology 3476719766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Baylor College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

40 Duke Medicine Cir
Durham, NC 27710-3810
Phone (919) 684-8111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN11744FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Jun 17, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Urology CurrentSince Jul 1, 2012 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 1, 2012 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients

Locations

216 Ashville Ave
Ste 20
Cary, NC 27518
Phone (919) 781-7070

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-1300

3400 Wake Forest Rd
Ste 310
Raleigh, NC 27609

3404 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 862-5400

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400

3621 22nd St
Ste 400
Lubbock, TX 79410
Phone (806) 791-8484

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: jgahan583557@direct.medicine.duke.edu

Organizations & group practices 4

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 6

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": "1235520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1679713960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845347",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752845347",
            "telephone_number": "305-397-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S MAIN ST",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761042410",
            "telephone_number": "305-397-7025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 NW 10th Ave",
            "address_2": "Dominion Tower, 5th floor",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361000",
            "country_code": "US",
            "telephone_number": "305-243-6090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAHAN",
        "first_name": "JEFFREY",
        "middle_name": "CHAD",
        "credential": "JEFFREY GAHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-25",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN11744",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "P3325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFFREY",
            "last_name": "GAHAN",
            "credential": "JEFFREY GAHAN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.