Individual provider Active NPI

Jordan Scott Loeb, D.O

  • Neurology Physician
  • Fort Worth, TX
National Provider Identifier
1700248929
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
R8042 Issued in TX
Practice address
1250 8TH Ave Ste 270
Fort Worth, TX 76104-4139
Phone
(214) 619-1910
Fax
(214) 619-1914
NPI assigned
Mar 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X R8042 TX Primary

Addresses

Primary practice location

1250 8TH Ave Ste 270
Fort Worth, TX 76104-4139

Mailing address

5375 Coit Rd Ste 130
Frisco, TX 75035-4914
Phone (214) 619-1910

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
I20210609001293 TX Practitioner - Neurology 9638579816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheth, MD, P.a.Group PAC ID 1153411483, 24 clinicians

Practice addresses (Care Compare)

5375 Coit Rd
Suite 130
Frisco, TX 75035-4910
Phone (214) 619-1910

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sheth, MD, P.a. Neurology CurrentSince Jul 1, 2021 Accepting new patients

Locations

5375 Coit Rd
Ste 130
Frisco, TX 75035

Interoperability endpoints

  • Direct secure messaging: jordan.loeb@lsneuro.eclinicaldirectplus.com
  • Direct secure messaging: jloeb67083@direct.phhs.org

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.

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": "1458950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1700248929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5375 COIT RD STE 130",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750354914",
            "telephone_number": "214-619-1910",
            "fax_number": "214-619-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 8TH AVE STE 270",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044139",
            "telephone_number": "214-619-1910",
            "fax_number": "214-619-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEB",
        "first_name": "JORDAN",
        "middle_name": "SCOTT",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-26",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "R8042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.