Individual provider Active NPI

Joshua Kyle Trussell, M.D.

  • Surgery Physician
  • Mansfield, TX
National Provider Identifier
1760684195
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
N2852 Issued in TX
Practice address
2975 E Broad St Ste 200
Mansfield, TX 76063-9186
Phone
(682) 518-8619
Fax
(682) 518-8195
NPI assigned
Jun 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X N2852 TX Primary

Addresses

Primary practice location

2975 E Broad St Ste 200
Mansfield, TX 76063-9186

Mailing address

2975 E Broad St Ste 200
Mansfield, TX 76063-9186
Phone (682) 518-8619

Other practice location 1

2800 E Broad Street
Suite 304
Mansfield, TX 76063-6412
Phone (817) 225-0560

Other identifiers 1

IdentifierTypeStateIssuer
205422302MedicaidTX

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
I20090713000320 TX Practitioner - General Surgery 5395897995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Medical School at Houston, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

2975 E Broad St
Suite 200
Mansfield, TX 76063-9186
Phone (682) 518-8619

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)14
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Sep 29, 2014 Accepting new patients
Medhealth CurrentSince Sep 29, 2014 Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients

Locations

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

2800 E Broad St
Ste 304
Mansfield, TX 76063
Phone (817) 225-0560

2975 E Broad St
Ste 200
Mansfield, TX 76063
Phone (682) 518-8619

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Interoperability endpoints

  • Direct secure messaging: jtrussell14706@dm.mhd.com

Organizations & group practices 3

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 1

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": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1760684195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 E BROAD ST STE 200",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639186",
            "telephone_number": "682-518-8619",
            "fax_number": "682-518-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 E BROAD ST STE 200",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639186",
            "telephone_number": "682-518-8619",
            "fax_number": "682-518-8195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 E BROAD STREET",
            "address_2": "SUITE 304",
            "address_purpose": "LOCATION",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636412",
            "country_code": "US",
            "telephone_number": "817-225-0560",
            "fax_number": "817-225-0565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUSSELL",
        "first_name": "JOSHUA",
        "middle_name": "KYLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "N2852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205422302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.