Individual provider Active NPI

James W Fleshman Jr., MD

  • Colon & Rectal Surgery Physician
  • Dallas, TX
National Provider Identifier
1689692105
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
P4647 Issued in TX
Practice address
3409 Worth Street, Worth Tower
Suite 640
Dallas, TX 75246-2003
Phone
(469) 800-7180
Fax
(469) 800-7190
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X R7B36 MO
Colon & Rectal Surgery Physician 208C00000X P4647 TX Primary

Addresses

Primary practice location

3409 Worth Street, Worth Tower
Suite 640
Dallas, TX 75246-2003

Mailing address

3500 Gaston Ave
1St Floor Roberts Hospital
Dallas, TX 75246-2017
Phone (214) 820-2404

Other identifiers 4

IdentifierTypeStateIssuer
3130585-01MedicaidTX
3130585-02MedicaidTX
1689692105OtherTXNPI
202430716MedicaidMO

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
I20130226000562 TX Practitioner - Colorectal Surgery (Proctology) 2567358096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Washington University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1321 S Beckham Ave
Baylor Scott and White Liver Consulta
Tyler, TX 75701-3323
Phone (214) 820-8500

3409 Worth St
600 Baylor Scott and White Plastic and Recons S
Dallas, TX 75246-2042
Phone (972) 817-6170

4001 Worth St
Dallas, TX 75246-1608

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R7B36MOMDColon & Rectal Surgery Physician
P4647TXMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Current Accepting new patients
Healthtexas Provider Network CurrentSince Feb 1, 2013 Accepting new patients
Healthtexas Provider Network CurrentSince Feb 1, 2013 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

3500 Gaston Ave
Fl 1
Dallas, TX 75246
Phone (214) 820-0832

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

3409 Worth St
Ste 640
Dallas, TX 75246
Phone (469) 800-7180

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

1321 S Beckham Ave
Tyler, TX 75701
Phone (903) 593-1706

Interoperability endpoints

  • Direct secure messaging: jfleshman225710@direct.sw.org

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1689692105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 GASTON AVE",
            "address_2": "1ST FLOOR ROBERTS HOSPITAL",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462017",
            "telephone_number": "214-820-2404",
            "fax_number": "214-820-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 WORTH STREET, WORTH TOWER",
            "address_2": "SUITE 640",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462003",
            "telephone_number": "469-800-7180",
            "fax_number": "469-800-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLESHMAN",
        "first_name": "JAMES",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MO",
            "license": "R7B36",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "P4647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3130585-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3130585-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1689692105",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202430716",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.