Active NPI
Vallerie Jain, MD
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- W0187
- Practice address
- 1300 W Terrell Ave Ste K230
Fort Worth, TX 76104-3104 - Phone
- (817) 250-4906
- Fax
- (817) 250-1815
- NPI assigned
- Mar 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | W0187 | TX | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | W0187 | TX | Primary |
Addresses
Primary practice location
1300 W Terrell Ave Ste K230
Fort Worth, TX 76104-3104
Mailing address
PO Box 3891
Chesterfield, MO 63006-3891
Phone (636) 933-2243
Other practice location 1
17300 N Outer 40 Rd Ste 100
Chesterfield, MO 63005-1364
Phone (636) 933-2243
Other practice location 2
1405 N Truman Blvd
Festus, MO 63028-1177
Phone (636) 933-2243
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
Care Compare profile
Medicare Care Compare- Specialty
- Hospice/Palliative Care
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1023 Lipscomb St
Suite 201
Fort Worth, TX 76104-3129
7465 E Osborn Rd
Scottsdale, AZ 85251-6590
8440 Walnut Hill LN
Dallas, TX 75231-3825
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| W0187 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Worth Institute of Medical Sciences LLC | Internal Medicine | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1689455685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1861027443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3891",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630063891",
"telephone_number": "636-933-2243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 W TERRELL AVE STE K230",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043104",
"telephone_number": "817-250-4906",
"fax_number": "817-250-1815"
}
],
"practiceLocations": [
{
"address_1": "17300 N Outer 40 Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Chesterfield",
"state": "MO",
"postal_code": "630051364",
"country_code": "US",
"telephone_number": "636-933-2243",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1405 N Truman Blvd",
"address_purpose": "LOCATION",
"city": "Festus",
"state": "MO",
"postal_code": "630281177",
"country_code": "US",
"telephone_number": "636-933-2243",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAIN",
"first_name": "VALLERIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-04",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "W0187",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "TX",
"license": "W0187",
"primary": true
}
],
"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 22, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.