Individual provider Active NPI

Joshua Mark Payne, D.O.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Fort Worth, TX
National Provider Identifier
1710243399
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
Q9474 Issued in TX
Practice address
2450 Oak Hill Cir
Apt 225
Fort Worth, TX 76109-9508
Phone
(806) 282-2076
NPI assigned
Apr 8, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X Q9474 TX Primary

Addresses

Primary practice location

2450 Oak Hill Cir
Apt 225
Fort Worth, TX 76109-9508

Mailing address

3025 N Tarrant Pkwy Ste 220
Fort Worth, TX 76177-8629
Phone (817) 885-7827

Other practice location 1

500 W Main St Ste 260
Lewisville, TX 75057-3629
Phone (817) 885-7827

Other practice location 2

3537 N Interstate 35 Suite 112
Denton, TX 76210
Phone (817) 885-7827

Other practice location 3

3025 N Tarrant Pkwy Ste 220
Fort Worth, TX 76177-8629
Phone (817) 885-7827

Other practice location 4

4351 Booth Calloway Rd Ste 203
North Richland Hills, TX 76180-7379
Phone (817) 885-7827

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JOSHUA.PAYNE@hca7.eclinicaldirectplus.com

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
I20180514000635 TX Practitioner - Orthopedic Surgery 2264796598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of North Texas HSC, College of Osteopathic Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Orthopaedics of Irving PLLCGroup PAC ID 3779667092, 57 clinicians

Practice addresses (Care Compare)

4300 City Point Dr
Suite 100
North Richland Hills, TX 76180-8380
Phone (817) 548-4000

Hospital & facility affiliations

  • Medical City North Hills Hospital, North Richland Hills, TX, CCN 450087
  • Medical City Alliance Hospital, Fort Worth, TX, CCN 670103

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)20
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q9474TXMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Orthopaedics of Irving PLLC CurrentSince Dec 1, 2018 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

4343 N Josey Ln
Carrollton, TX 75010
Phone (972) 394-2280

3537 N Interstate 35
Ste 112
Denton, TX 76207
Phone (817) 885-7827

8800 Medical City Way
Fort Worth, TX 76177

3025 N Tarrant Pkwy
Ste 220
Ft Worth, TX 76177
Phone (817) 349-4663

3101 N Tarrant Pkwy
Ft Worth, TX 76177
Phone (817) 349-4663

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

4351 Booth Calloway Rd
Ste 303
North Richland Hills, TX 76180
Phone (214) 496-9701

4351 Booth Calloway Rd
Ste 203
North Richlnd Hls, TX 76180
Phone (817) 589-0768

4375 Booth Calloway Rd
Ste 201
North Richlnd Hls, TX 76180
Phone (817) 255-1940

4300 City Point Dr
Ste 100
North Richlnd Hls, TX 76180
Phone (817) 548-4000

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

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

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 2

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": "1333843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1710243399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 N TARRANT PKWY STE 220",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778629",
            "telephone_number": "817-885-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 OAK HILL CIR",
            "address_2": "APT 225",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761099508",
            "telephone_number": "806-282-2076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Main St Ste 260",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750573629",
            "country_code": "US",
            "telephone_number": "817-885-7827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3537 N INTERSTATE 35 SUITE 112",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "76210",
            "country_code": "US",
            "telephone_number": "817-885-7827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3025 N Tarrant Pkwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761778629",
            "country_code": "US",
            "telephone_number": "817-885-7827",
            "fax_number": "866-663-3480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4351 Booth Calloway Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "North Richland Hills",
            "state": "TX",
            "postal_code": "761807379",
            "country_code": "US",
            "telephone_number": "817-885-7827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "JOSHUA",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-08",
        "last_updated": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "Q9474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JOSHUA.PAYNE@hca7.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3025 N Tarrant Pkwy Ste 220",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761778629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.