Individual provider Active NPI

Thomas C Truelson, MD

  • Urology Physician
  • Fort Worth, TX
National Provider Identifier
1780670810
Registry record updated Feb 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
H6661 Issued in TX
Practice address
5450 Clearfork Main St Ste 410
Fort Worth, TX 76109
Phone
(817) 784-8268
Fax
(817) 336-8034
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2024

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 H6661 TX Primary

Addresses

Primary practice location

5450 Clearfork Main St Ste 410
Fort Worth, TX 76109

Mailing address

5450 Clearfork Main St Ste 410
Fort Worth, TX 76109-3559
Phone (817) 784-8268

Other practice location 1

12001 South Fwy
Ste 300
Burleson, TX 76028-7208
Phone (817) 784-0818

Other practice location 2

5450 Clearfork Main St Ste 410
Fort Worth, TX 76109
Phone (817) 784-8268

Other identifiers 3

IdentifierTypeStateIssuer
125450006MedicaidTX
125450005MedicaidTX
125450003MedicaidTX

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
I20091202000112 TX Practitioner - Urology 0749350692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Texas Southwestern Medical School at Dallas, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 911242
Dallas, TX 75391

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA CurrentSince Mar 1, 2024 Accepting new patients
Texas Oncology PA Current Accepting new patients
Medical Clinic of North Texas, PLLC Urology CurrentSince Sep 1, 2012 Accepting new patients
Texas Oncology PA CurrentSince Mar 1, 2024 Accepting new patients
Texas Oncology PA Urology Current Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Sep 1, 2012 Accepting new patients
Medical Clinic of North Texas PLLC PastSince Dec 16, 2020 Accepting new patients
Urology Associates of North Texas LLP Urology Past Accepting new patients

Locations

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

12001 South Fwy
Ste 300
Burleson, TX 76028
Phone (682) 268-6670

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 410
Fort Worth, TX 76109
Phone (817) 505-0233

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

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

1325 Pennsylvania Ave
Ste 550
Ft Worth, TX 76104
Phone (817) 250-7190

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

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

7200 State Highway 161
Ste 200
Irving, TX 75039
Phone (972) 254-0188

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

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

925 Santa Fe Dr
Ste 114
Weatherford, TX 76086
Phone (817) 303-4521

Interoperability endpoints

  • Direct secure messaging: thomastruelson@tusdfw.medalliesdirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708214400000",
    "number": "1780670810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 CLEARFORK MAIN ST STE 410",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761093559",
            "telephone_number": "817-784-8268",
            "fax_number": "817-336-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 CLEARFORK MAIN ST STE 410",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76109",
            "telephone_number": "817-784-8268",
            "fax_number": "817-336-8034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12001 South Fwy",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Burleson",
            "state": "TX",
            "postal_code": "760287208",
            "country_code": "US",
            "telephone_number": "817-784-0818",
            "fax_number": "817-551-6470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5450 Clearfork Main St Ste 410",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "76109",
            "country_code": "US",
            "telephone_number": "817-784-8268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUELSON",
        "first_name": "THOMAS",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2024-02-18",
        "certification_date": "2024-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "H6661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125450006",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125450005",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125450003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.