NPIMap

Organization Active NPI

Chot Healthcare Providers

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Fort Worth, TX
National Provider Identifier
1831893296
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
CHOT HEALTHCARE PROVIDERS
Practice address
6100 Western PL Ste 105
Fort Worth, TX 76107-4662
Phone
(817) 870-2795
Fax
(817) 546-2173
NPI assigned
Mar 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Victoria L. Jingle
Title
Secretary
Phone
(817) 870-2795

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0002X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

6100 Western PL Ste 105
Fort Worth, TX 76107-4662

Mailing address

6100 Western PL Ste 105
Fort Worth, TX 76107-4662
Phone (817) 870-2795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230707000454 TX Part B Supplier - Clinic/Group Practice 2163881228 Receives reassigned benefits from 10 practitioners
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

6100 Western Pl
#5
Fort Worth, TX 76107

6100 Western Pl
Fort Worth, TX 76107
Phone (817) 564-0107

6100 Western Pl
Ste 105
Ft Worth, TX 76107
Phone (817) 870-2795

6700 Sanger Ave
Waco, TX 76710
Phone (254) 399-9099

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1831893296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 WESTERN PL STE 105",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761074662",
            "telephone_number": "817-870-2795",
            "fax_number": "817-546-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 WESTERN PL STE 105",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761074662",
            "telephone_number": "817-870-2795",
            "fax_number": "817-546-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOT HEALTHCARE PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "JINGLE",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "817-870-2795"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.