Individual provider Active NPI

Courtney Mitchell, M.D.

  • Maternal & Fetal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1861812596
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
V3052 Issued in TX
Practice address
1325 Pennsylvania Ave Ste 600
Fort Worth, TX 76104-2133
Phone
(682) 267-8694
NPI assigned
Apr 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X V3052 TX Primary

Addresses

Primary practice location

1325 Pennsylvania Ave Ste 600
Fort Worth, TX 76104-2133

Mailing address

3500 Gaston Ave
Moblitzelle Hospital 1St Floor Ste H-100
Dallas, TX 75246-2017
Phone (954) 692-7512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, 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
I20211019001937 MS Practitioner - Obstetrics/Gynecology 7719101617 Reassigns benefits to 1 organization
I20240826000518 TX Practitioner - Obstetrics/Gynecology 7719101617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Louisville School of Medicine, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Obstetrix Medical Group of Texas Billing, Inc.Group PAC ID 2365342938, 24 clinicians

Practice addresses (Care Compare)

1250 8TH Ave
Suite 225
Fort Worth, TX 76104-4157
Phone (817) 922-9237

1280 8TH Ave
Suite 245
Fort Worth, TX 76104-4146
Phone (817) 926-4118

1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Phone 80024338397746

1325 Pennsylvania Ave
Suite 600
Ft Worth, TX 76104-2133
Phone (682) 267-8694

1400 8TH Ave
Fort Worth, TX 76104-4110
Phone 80024338397746

800 W Randol Mill Rd
Arlington, TX 76012-2504
Phone 80024338397746

Hospital & facility affiliations

  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
67.75
Promoting interoperability
100
Improvement activities
40
Cost
71.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V3052TXMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jul 19, 2021 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jul 19, 2021 Accepting new patients
Obstetrix Medical Group of Texas Billing, Inc. Maternal & Fetal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Pediatrix Medical Group of Texas Billing, Inc. PastSince Aug 11, 2024 Accepting new patients
Texas Health Harris Methodist Hospital Fort Worth Past Accepting new patients

Locations (25 of 26)

504 Clinton Center Dr
Ste 4300
Clinton, MS 39056

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

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

3500 Gaston Ave
Fl 1
Dallas, TX 75246
Phone (214) 820-0832

3500 Gaston Ave
Dallas, TX 75246

411 N Washington Ave
Ste 6400
Dallas, TX 75246
Phone (214) 826-3681

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

10864 Texas Health Trl
Fort Worth, TX 76244
Phone (682) 212-2000

1250 8th Ave
Ste 225
Fort Worth, TX 76104
Phone (817) 922-9237

10840 Texas Health Trl
Ste 210
Fort Worth, TX 76244
Phone (817) 540-1157

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1325 Pennsylvania Ave
Ste 600
Ft Worth, TX 76104
Phone (817) 878-5298

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

1901 N State Highway 360
Ste 102
Grand Prairie, TX 75050
Phone (972) 647-0994

1631 Lancaster Dr
Ste 320
Grapevine, TX 76051
Phone (214) 915-8502

1650 W College St
Grapevine, TX 76051
Phone (817) 329-2523

5757 Woodway Dr
Ste 275
Houston, TX 77057
Phone (713) 791-9100

2800 E Broad St
Ste 214
Mansfield, TX 76063
Phone (682) 885-2500

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

10223 Broadway St
Ste E
Pearland, TX 77584
Phone (713) 340-2848

9180 Pinecroft Dr
Ste 300
Shenandoah, TX 77380
Phone (281) 419-4600

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

Interoperability endpoints

  • Direct secure messaging: courtney.mitchellmd.p4@direct.mednax.nextgenshare.com
  • FHIR API: https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/
  • Direct secure messaging: cmitchell167206@ummc.direct-ci.com

Organizations & group practices 5

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 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": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1861812596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 GASTON AVE",
            "address_2": "MOBLITZELLE HOSPITAL 1ST FLOOR STE H-100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462017",
            "telephone_number": "954-692-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 PENNSYLVANIA AVE STE 600",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042133",
            "telephone_number": "682-267-8694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "COURTNEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-21",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "V3052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.