Individual provider Active NPI

John Andrew Pumphrey, M.D.

  • Urology Physician
  • Fort Worth, TX
National Provider Identifier
1700833704
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
H2701 Issued in TX
Practice address
5450 Clearfork Main St Ste 420
Fort Worth, TX 76109-3559
Phone
(817) 784-8268
Fax
(817) 346-6173
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X H2701 TX Primary

Addresses

Primary practice location

5450 Clearfork Main St Ste 420
Fort Worth, TX 76109-3559

Mailing address

5450 Clearfork Main St Ste 420
Fort Worth, TX 76109-3559
Phone (817) 784-8268

Other identifiers 3

IdentifierTypeStateIssuer
129073606MedicaidTX
129073607MedicaidTX
129073608MedicaidTX

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
I20140106000519 TX Practitioner - Urology 1052219235 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas, PLLC Urology Current Accepting new patients
Texas Oncology PA Urology Current Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Mar 31, 2014 Accepting new patients
Texas Oncology PA CurrentSince Mar 1, 2024 Accepting new patients
Medical Clinic of North Texas, PLLC Urology CurrentSince Mar 31, 2014 Accepting new patients
Texas Oncology PA CurrentSince Mar 1, 2024 Accepting new patients

Locations

809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133

4201 Brown Trl
Ste 101
Colleyville, TX 76034
Phone (682) 217-2102

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

5450 Clearfork Main St
Ste 420
Fort Worth, TX 76109
Phone (817) 334-1465

1821 8th Ave
Ft Worth, TX 76110
Phone (817) 923-7353

6500 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 263-2600

925 Gessner Rd
Ste 550
Houston, TX 77024
Phone (713) 467-1722

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1700833704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 CLEARFORK MAIN ST STE 420",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761093559",
            "telephone_number": "817-784-8268",
            "fax_number": "817-346-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 CLEARFORK MAIN ST STE 420",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761093559",
            "telephone_number": "817-784-8268",
            "fax_number": "817-346-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUMPHREY",
        "first_name": "JOHN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "H2701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129073606",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129073607",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129073608",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.