Individual provider Active NPI

Jeremy Patrick Parcells, MD

  • Surgery Physician
  • Mansfield, TX
National Provider Identifier
1831393412
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
P7967 Issued in TX
Practice address
2975 E Broad St Ste 200
Mansfield, TX 76063-9147
Phone
(682) 518-8619
Fax
(682) 518-8195
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 6847 NE
Surgery Physician 208600000X P7967 TX Primary

Addresses

Primary practice location

2975 E Broad St Ste 200
Mansfield, TX 76063-9147

Mailing address

P.O. Box 961205
Fort Worth, TX 76161-1205
Phone (817) 740-8400

Other identifiers 4

IdentifierTypeStateIssuer
332557301MedicaidTX
6847OtherNETEMPORARY EDUCATION PERMIT
3870853755OtherMYUTMB 3870853755-COMMERCIAL NUMBER
P7967OtherTXMEDICAL LICENSE

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
I20140227001241 TX Practitioner - General Surgery 2062642689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Baylor College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

2975 E Broad St
Suite 200
Mansfield, TX 76063-9186
Phone (682) 518-8619

Hospital & facility affiliations

  • Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023
  • Methodist Midlothian Medical Center Hospital, Midlothian, TX, CCN 670300
  • Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)21
Upper gastrointestinal (GI) endoscopy for acid reflux24
Melanoma (skin cancer) excision15
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6847NEMDSurgery Physician
P7967TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Jun 3, 2019 Accepting new patients
Medhealth CurrentSince Jun 3, 2019 Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients

Locations

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

2975 E Broad St
Ste 200
Mansfield, TX 76063
Phone (682) 518-8619

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Interoperability endpoints

  • Direct secure messaging: jparcells14428@dm.mhd.com

Organizations & group practices 3

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1831393412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 961205",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761611205",
            "telephone_number": "817-740-8400",
            "fax_number": "817-378-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 E BROAD ST STE 200",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639147",
            "telephone_number": "682-518-8619",
            "fax_number": "682-518-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARCELLS",
        "first_name": "JEREMY",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "6847",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "P7967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332557301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEMPORARY EDUCATION PERMIT",
            "identifier": "6847",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 3870853755-COMMERCIAL NUMBER",
            "identifier": "3870853755",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "P7967",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.