Individual provider Active NPI

John C Herndon III, MD

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1689676744
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
H4399 Issued in TX
Practice address
12222 Merit Dr Ste 600
Dallas, TX 75284-6533
Phone
(972) 715-5000
Fax
(972) 715-9976
NPI assigned
Jun 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X H4399 TX Primary

Addresses

Primary practice location

12222 Merit Dr Ste 600
Dallas, TX 75284-6533

Mailing address

PO Box 840853
Dallas, TX 75284-0865
Phone (972) 233-1999

Other practice location 1

6606 Lbj Fwy
ste 200
Dallas, TX 75240-6533
Phone (972) 715-5000

Other identifiers 7

IdentifierTypeStateIssuer
120424006MedicaidTX
120424011MedicaidTX
8BJ007OtherTXBCBS
120424008MedicaidTX
120424009MedicaidTX
P00754972OtherTXRAILROAD
120424010MedicaidTX

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
I20070829000622 TX Practitioner - Anesthesiology 0345333878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Southwestern Medical School at Dallas, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
U S Anesthesia Partners of Texas, PAGroup PAC ID 7315850351, 2,750 clinicians

Practice addresses (Care Compare)

1545 E Southlake Blvd
Greater Houston Anesthesiology
Southlake, TX 76092-6422
Phone (817) 748-8782

1800 Park Place Ave
Fort Worth, TX 76110-1302
Phone (682) 703-5600

2727 E Lemmon Ave
Greater Houston Anesthesiology
Dallas, TX 75204-2833
Phone (214) 443-3042

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-6356

3500 W Wheatland Rd
Greater Houston Anesthesiology
Dallas, TX 75237-3460
Phone (214) 947-7699

4700 Alliance Blvd
Plano, TX 75093-5323
Phone (469) 814-2125

7777 Forest LN
Dallas, TX 75230-2571
Phone (972) 566-7072

9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (713) 620-4000

9301 N Central Expy
100 Greater Houston Anesthesiology
Dallas, TX 75231-0802
Phone (214) 365-8163

Hospital & facility affiliations

  • Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890
  • Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647
  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
  • North Central Surgical Center LLP Hospital, Dallas, TX, CCN 670049

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
U. S. Anesthesia Partners of Texas, P.a., Anesthesiology CurrentSince Feb 28, 2014 Accepting new patients
U S Anesthesia Partners of Texas, PA Anesthesiology CurrentSince Feb 28, 2014 Accepting new patients
Physicians Anesthesia Group, LLP Anesthesiology Past Accepting new patients

Locations

3500 Gaston Ave
Dallas, TX 75246

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

900 8th Ave
Ft Worth, TX 76104
Phone (817) 336-2100

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

1500 Citywest Blvd
Ste 300
Houston, TX 77042
Phone (713) 458-4185

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

4401 Booth Calloway Rd
Richland Hls, TX 76180
Phone (817) 255-1000

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

Interoperability endpoints

  • Direct secure messaging: jherndon@direct.uspi.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1689676744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840853",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840865",
            "telephone_number": "972-233-1999",
            "fax_number": "972-233-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 MERIT DR STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846533",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6606 Lbj Fwy",
            "address_2": "ste 200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752406533",
            "country_code": "US",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNDON",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "H4399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120424006",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120424011",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8BJ007",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120424008",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120424009",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00754972",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120424010",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.