Individual provider Active NPI

Stuart Charles Pickell, MD

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1740261114
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L2552 Issued in TX
Practice address
4400 Oak Park LN
Fort Worth, TX 76109-9534
Phone
(817) 985-7772
Fax
(817) 985-7773
NPI assigned
Nov 10, 2005
Last updated
Mar 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L2552 TX Primary

Addresses

Primary practice location

4400 Oak Park LN
Fort Worth, TX 76109-9534

Mailing address

4400 Oak Park LN
Fort Worth, TX 76109-9534

Other practice location 1

3455 Locke Ave Ste 315
Fort Worth, TX 76107-5747
Phone (817) 336-1189

Other practice location 2

800 8th Ave Ste 626
Fort Worth, TX 76104
Phone (817) 243-7995

Other identifiers 1

IdentifierTypeStateIssuer
158677801MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address spickell23311@direct.texashealth.org

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
I20100204000153 TX Practitioner - Internal MedicinePractitioner - Pediatric Medicine 7113060773 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Texas Southwestern Medical School at Dallas, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Strategic Medical Group TX PLLCGroup PAC ID 1355707423, 26 clinicians

Practice addresses (Care Compare)

2600 S Douglas Rd
Suite 308
Coral Gables, FL 33134-6134

4400 Oak Park LN
Fort Worth, TX 76109-9534
Phone (817) 985-7772

6100 Harris Pkwy
Suite 1240
Fort Worth, TX 76132-4248
Phone (817) 789-6333

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L2552TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Strategic Medical Group TX PLLC CurrentSince Oct 1, 2023 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group Internal Medicine CurrentSince Nov 1, 2018 Accepting new patients
Texas Health Physicians Group CurrentSince Nov 1, 2018 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

3455 Locke Ave
Ste 315
Fort Worth, TX 76107
Phone (817) 336-1189

6100 Harris Pkwy
Ste 1240
Fort Worth, TX 76132
Phone (817) 433-5155

800 8th Ave
Ste 626
Fort Worth, TX 76104
Phone (817) 243-7995

900 Jerome St
Ste 400
Fort Worth, TX 76104
Phone (817) 332-6092

4400 Oak Park Ln
Ft Worth, TX 76109
Phone (817) 207-9600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1740261114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 OAK PARK LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761099534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 OAK PARK LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761099534",
            "telephone_number": "817-985-7772",
            "fax_number": "817-985-7773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3455 Locke Ave Ste 315",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761075747",
            "country_code": "US",
            "telephone_number": "817-336-1189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 8th Ave Ste 626",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "76104",
            "country_code": "US",
            "telephone_number": "817-243-7995",
            "fax_number": "844-573-3209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICKELL",
        "first_name": "STUART",
        "middle_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L2552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158677801",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spickell23311@direct.texashealth.org",
            "affiliation": "N",
            "address_1": "3455 Locke Ave Ste 315",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761075747",
            "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.