Active NPI
J Trace Worrell, MD
- Anatomic Pathology & Clinical Pathology Physician
- Arlington, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- H6717
- Practice address
- 800 W Randol Mill Rd FL 3
Arlington, TX 76012-2504 - Phone
- (817) 960-6225
- Fax
- (817) 960-6519
- NPI assigned
- Jan 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | H6717 | TX | Primary |
Addresses
Primary practice location
800 W Randol Mill Rd FL 3
Arlington, TX 76012-2504
Mailing address
14275 Midway Rd
Suite 400
Addison, TX 75001-3614
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 W Randol Mill Rd
Arlington Memorial Hospital
Arlington, TX 76012-2504
Phone (817) 472-3400
Hospital & facility affiliations
- Texas Health Arlington Memorial Hospital
- Usmd Hospital at Arlington L P
- Texas Health Heart & Vascular Hospital Arlington
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H6717 | TX | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ameripath Lubbock 5.01(a) Corporation | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Ameripath Lubbock 501a Corporation | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Ameripath Lubbock 5.01(a) Corporation | Past | Accepting new patients | |
| Arlington Pathology Association 501a Corporation | Past | Accepting new patients | |
| Cardiovascular Care Providers, Inc. | Past | Accepting new patients | |
| Ameripath Lubbock 501a Corporation | Past | Accepting new patients |
Locations
14275 Midway Rd
Ste 400
Addison, TX 75001
Phone (214) 932-8018
801 W Interstate 20
Arlington, TX 76017
Phone (817) 472-3400
4770 Regent Blvd
Irving, TX 75063
Phone (800) 824-6152
Interoperability endpoints
- tworrell@direct.uspi.com
Organizations & group practices 6
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Lubbock, TX
- NPI 1134190705
-
- Anatomic Pathology & Clinical Pathology Physician
- Fort Worth, TX
- NPI 1700860434
-
- Clinical Medical Laboratory
- Arlington, TX
- NPI 1447324025
-
- Clinical Medical Laboratory
- Lubbock, TX
- NPI 1184788630
-
- Clinical Medical Laboratory
- Arlington, TX
- NPI 1841261344
-
- Specialist
- Houston, TX
- NPI 1437242617
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Arlington, TX
- NPI 1407169196
-
- General Acute Care Hospital
- Arlington, TX
- NPI 1174533343
-
- General Acute Care Hospital
- Arlington, TX
- NPI 1659352987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506384000000",
"number": "1790765816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14275 MIDWAY RD",
"address_2": "SUITE 400",
"city": "ADDISON",
"state": "TX",
"postal_code": "750013614",
"fax_number": "610-271-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W RANDOL MILL RD FL 3",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760122504",
"telephone_number": "817-960-6225",
"fax_number": "817-960-6519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORRELL",
"first_name": "J",
"middle_name": "TRACE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2017-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "H6717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.