Individual provider Active NPI

J Trace Worrell, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Arlington, TX
National Provider Identifier
1790765816
Registry record updated Sep 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
H6717 Issued in TX
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

Updated by the provider on Sep 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120503000498 TX Practitioner - Pathology 4385739317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ameripath Lubbock 501a CorporationGroup PAC ID 5890690085, 18 clinicians

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 Hospital, Arlington, TX, CCN 450064
  • Usmd Hospital at Arlington L P Hospital, Arlington, TX, CCN 450872
  • Texas Health Heart & Vascular Hospital Arlington Hospital, Arlington, TX, CCN 670071

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H6717TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ameripath Lubbock 5.01(a) Corporation Anatomic Pathology & Clinical Pathology CurrentSince Mar 1, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.