NPIMap

Individual provider Active NPI

Kevin Bert Golden, M.D.

  • Infectious Disease Physician
  • Fort Worth, TX
National Provider Identifier
1801274477
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
S4767 Issued in TX
Practice address
1025 College Ave
Fort Worth, TX 76104-3013
Phone
(817) 810-9810
Fax
(817) 810-9815
NPI assigned
May 14, 2015
Last updated
Apr 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Infectious Disease Physician 207RI0200X S4767 TX Primary

Addresses

Primary practice location

1025 College Ave
Fort Worth, TX 76104-3013

Mailing address

PO Box 162464
Fort Worth, TX 76161-2464
Phone (871) 810-9810

Other practice location 1

3410 Worth St Ste 780
Dallas, TX 75246-2003
Phone (214) 716-0662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200713001572 TX Practitioner - Internal Medicine 6709106032 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Texas a & M University System, HSC, College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Centers for Infectious Disease Associates PAGroup PAC ID 4880596451, 17 clinicians

Practice addresses (Care Compare)

1025 College Ave
Fort Worth, TX 76104-3013
Phone (817) 810-9810

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.77 of 100Reported as group
Quality
92.76
Improvement activities
40
Cost
78.94

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tarrant County Infectious Disease Associates Infectious Disease CurrentSince Apr 9, 2023 Accepting new patients
Texas Centers for Infectious Disease Associates PA Infectious Disease CurrentSince Apr 1, 2023 Accepting new patients
North Texas Infectious Diseases Consultants CurrentSince Jul 1, 2020 Accepting new patients
North Texas Infectious Disaeases Consultants, PA CurrentSince Jul 1, 2020 Accepting new patients

Locations

3409 Worth St
Ste 710
Dallas, TX 75246
Phone (214) 823-2533

3410 Worth St
Ste 780
Dallas, TX 75246
Phone (817) 810-9810

3500 Gaston Ave
Dallas, TX 75246

1025 College Ave
Fort Worth, TX 76104
Phone (817) 810-9810

1125 College Ave
Ft Worth, TX 76104
Phone (817) 336-1640

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60208
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCCBBA
  • Direct secure messaging: kevin.golden@ntidc.directbygreenway.com

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1801274477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162464",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761612464",
            "telephone_number": "871-810-9810",
            "fax_number": "871-810-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 COLLEGE AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043013",
            "telephone_number": "817-810-9810",
            "fax_number": "817-810-9815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3410 Worth St Ste 780",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752462003",
            "country_code": "US",
            "telephone_number": "214-716-0662",
            "fax_number": "972-791-8446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "KEVIN",
        "middle_name": "BERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-14",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "S4767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.