Individual provider Active NPI

Joel C. Osborn, M.D.

  • Cardiovascular Disease Physician
  • Amarillo, TX
National Provider Identifier
1720076664
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
E6553 Issued in TX
Practice address
6200 I-40 W
Amarillo, TX 79106-2512
Phone
(806) 354-9764
Fax
(806) 355-2868
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X E6553 TX Primary

Addresses

Primary practice location

6200 I-40 W
Amarillo, TX 79106-2512

Mailing address

6200 I-40 W
Amarillo, TX 79106-2512
Phone (806) 354-9764

Other identifiers 1

IdentifierTypeStateIssuer
138312713MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E6553TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cca ASC, LLC Current Accepting new patients
Northwest Texas Healthcare System Inc CurrentSince Sep 1, 2018 Accepting new patients
Bsa Hospital LLC CurrentSince Jan 15, 2013 Accepting new patients
Bsa Hospital, LLC CurrentSince Jan 15, 2013 Accepting new patients
Baptist St. Anthony'S Hospital Corporation Past Accepting new patients

Locations

6200 W Interstate 40
Amarillo, TX 79106
Phone (806) 354-9764

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

1000 Craig Dr
Amarillo, TX 79106
Phone (806) 212-6649

6200 W Interstate 40
Ste 200
Amarillo, TX 79106
Phone (806) 354-9764

1411 E Amarillo Blvd
Amarillo, TX 79107
Phone (806) 351-7200

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

Interoperability endpoints

  • Direct secure messaging: joel.osborn.p41@direct.ccallp.nextgenshare.com

Organizations & group practices 5

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1720076664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 I-40 W",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062512",
            "telephone_number": "806-354-9764",
            "fax_number": "806-355-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 I-40 W",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062512",
            "telephone_number": "806-354-9764",
            "fax_number": "806-355-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "JOEL",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "E6553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138312713",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.