Individual provider Active NPI

Eric Joshua Siskind, M.D.

  • Transplant Surgery Physician
  • Fort Worth, TX
National Provider Identifier
1841428141
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
U0276 Issued in TX
Practice address
1325 Pennsylvania Ave Ste 450
Fort Worth, TX 76104-2191
Phone
(817) 250-7240
Fax
(888) 977-1985
NPI assigned
Jun 24, 2009
Last updated
Feb 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X U0276 TX Primary
Transplant Surgery Physician 204F00000X 19821 NV
Surgery Physician 208600000X 19821 NV

Addresses

Primary practice location

1325 Pennsylvania Ave Ste 450
Fort Worth, TX 76104-2191

Mailing address

1800 W Charleston Blvd. Ste. 508
Las Vegas, NV 89102
Phone (702) 383-2688

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address esiskind2274152@Direct.TexasHealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191126001545 NY Practitioner - General Surgery 7416256433 Reassigns benefits to 2 organizations
I20221213003317 TX Practitioner - General Surgery 7416256433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Albert Einstein College of Medicine of Yeshiva University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

1325 Pennsylvania Ave
Suite 680
Fort Worth, TX 76104-2133
Phone (817) 250-4235

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Dec 2, 2022 Accepting new patients
Texas Health Physicians Group CurrentSince Dec 2, 2022 Accepting new patients
University Surgical Associates, LLP Transplant Surgery CurrentSince Nov 1, 2019 Accepting new patients
Albany Medical College CurrentSince Sep 30, 2019 Accepting new patients
Albany Medical College Surgery CurrentSince Sep 30, 2019 Accepting new patients
Albany Medical College Transplant Surgery CurrentSince Sep 30, 2019 Accepting new patients
Albany Medical College Surgery Current Accepting new patients
Texas Health Harris Methodist Hospital Fort Worth Past Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

47 New Scotland Ave
#61
Albany, NY 12208
Phone (518) 262-5791

50 New Scotland Ave
Albany, NY 12208
Phone (518) 262-0940

725 Irving Ave
Ste 401
Syracuse, NY 13210
Phone (315) 464-2878

750 E Adams St
Ste 2W
Syracuse, NY 13210
Phone (315) 464-9535

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

1325 Pennsylvania Ave
Ste 450
Ft Worth, TX 76104
Phone (817) 250-2443

1325 Pennsylvania Ave
Ste 560
Ft Worth, TX 76104
Phone (817) 250-7240

1325 Pennsylvania Ave
Ste 680
Ft Worth, TX 76104
Phone (817) 250-4235

Interoperability endpoints

  • Direct secure messaging: esiskind2274152@direct.texashealth.org
  • FHIR API: https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/

Organizations & group practices 9

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 1

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": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1841428141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W CHARLESTON BLVD. STE. 508",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89102",
            "telephone_number": "702-383-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 PENNSYLVANIA AVE STE 450",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042191",
            "telephone_number": "817-250-7240",
            "fax_number": "888-977-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISKIND",
        "first_name": "ERIC",
        "middle_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-24",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "TX",
            "license": "U0276",
            "primary": true
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "NV",
            "license": "19821",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "19821",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "esiskind2274152@Direct.TexasHealth.org",
            "affiliation": "N",
            "address_1": "1325 Pennsylvania Ave Ste 450",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761042191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.