Active NPI
James Haralson Elder III, D.O.
- Internal Medicine Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- N3630
- Practice address
- 5900 Overton Ridge Blvd
Suite 110
Fort Worth, TX 76132-3685 - Phone
- (817) 423-1477
- Fax
- (817) 423-1481
- NPI assigned
- Nov 20, 2007
- Last updated
- Feb 24, 2012
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | N3630 | TX | Primary |
Addresses
Primary practice location
5900 Overton Ridge Blvd
Suite 110
Fort Worth, TX 76132-3685
Mailing address
5900 Overton Ridge Blvd
Suite 110
Fort Worth, TX 76132-3685
Phone (817) 423-1477
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
- Internal Medicine
- Education
- University of North Texas HSC, College of Osteopathic Med, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6100 Harris Pkwy
Ft Worth, TX 76132-4101
Phone (817) 433-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N3630 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Virtual Care | Current | Accepting new patients | |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Texas Health Physicians Group | Internal Medicine | Current | Accepting new patients |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Texas Health Virtual Care | Internal Medicine | Current | Accepting new patients |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Past | Accepting new patients |
Locations
1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803
8200 Walnut Hill Ln
Fl 9
Dallas, TX 75231
Phone (214) 345-8001
6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000
Interoperability endpoints
- https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/
- jelder361682@direct.texashealth.org
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1174573596
-
dba Texas Health Care at Home
- Internal Medicine Physician
- Dallas, TX
- NPI 1942951199
-
- Internist Chiropractor
- Fort Worth, TX
- NPI 1376817486
-
dba Sleep Healers
- Sleep Disorder Diagnostic Clinic/Center
- Fort Worth, TX
- NPI 1114395969
-
dba Sleep Healers
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1174992051
-
dba Texas Health Behavioral Health Video Visits
- Psychiatry Physician
- Mansfield, TX
- NPI 1003507542
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1417980202
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1417980202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330041600000",
"number": "1790966513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 OVERTON RIDGE BLVD",
"address_2": "SUITE 110",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761323685",
"telephone_number": "817-423-1477",
"fax_number": "817-423-1481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 OVERTON RIDGE BLVD",
"address_2": "SUITE 110",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761323685",
"telephone_number": "817-423-1477",
"fax_number": "817-423-1481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDER",
"first_name": "JAMES",
"middle_name": "HARALSON",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-20",
"last_updated": "2012-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "N3630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.