Active NPI
Hari Kumaresan, M.D.
- Child & Adolescent Psychiatry Physician
- Fort Worth, TX
National Provider Identifier
1801851027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- N2608
- Practice address
- 901 7TH Ave Ste 2200
Fort Worth, TX 76104-2722 - Phone
- (682) 885-1050
- Fax
- (682) 885-7572
- NPI assigned
- Apr 19, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | N2608 | TX | Primary |
| Psychiatry Physician | 2084P0800X | MA07931900 | NJ | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 0101241594 | VA |
Addresses
Primary practice location
901 7TH Ave Ste 2200
Fort Worth, TX 76104-2722
Mailing address
PO Box 733784
Dallas, TX 75373-3784
Phone (682) 885-1855
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hkumaresan14946@CookChildrens.direct-ci.com |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA07931900 | NJ | MD | Psychiatry Physician |
| N2608 | TX | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook Children'S Physician Network | Current | Accepting new patients | |
| Cook Children'S Physician Network | Current | Accepting new patients | |
| East Mountain Hospital Inc | Past | Accepting new patients | |
| East Mountain Hospital, Inc. | Psychiatry | Past | Accepting new patients |
Locations
901 7th Ave
Ste 2200
Fort Worth, TX 76104
Phone (682) 885-1050
901 7th Ave
Ft Worth, TX 76104
Phone (682) 885-1050
801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054
136 El Chico Trl
Ste 102
Willow Park, TX 76087
Phone (817) 441-5412
Interoperability endpoints
- hkumaresan14946@cookchildrens.direct-ci.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 and National Provider Directory roles.
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1750369203
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1083472062
-
- Psychiatric Hospital
- Belle Mead, NJ
- NPI 1184626152
-
- Psychiatry Physician
- Belle Mead, NJ
- NPI 1437366127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619395200000",
"number": "1801851027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 733784",
"city": "DALLAS",
"state": "TX",
"postal_code": "753733784",
"telephone_number": "682-885-1855",
"fax_number": "682-885-1396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 7TH AVE STE 2200",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042722",
"telephone_number": "682-885-1050",
"fax_number": "682-885-7572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMARESAN",
"first_name": "HARI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2021-04-26",
"certification_date": "2021-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TX",
"license": "N2608",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "MA07931900",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "VA",
"license": "0101241594",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hkumaresan14946@CookChildrens.direct-ci.com",
"affiliation": "N",
"address_1": "901 7th Ave Ste 2200",
"city": "Fort Worth",
"state": "TX",
"country_code": "US",
"postal_code": "761042722",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 26, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.