Individual provider Active NPI

Nicole Marie Tod, DO

  • Obstetrics & Gynecology Physician
  • Fort Worth, TX
National Provider Identifier
1922537562
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
S2521 Issued in TX
Practice address
10840 Texas Health TRL Ste 265
Fort Worth, TX 76244-6852
Phone
(817) 741-2601
NPI assigned
Jun 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X S2521 TX Primary

Addresses

Primary practice location

10840 Texas Health TRL Ste 265
Fort Worth, TX 76244-6852

Mailing address

10840 Texas Health TRL Ste 265
Fort Worth, TX 76244-6852
Phone (817) 741-2601

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
I20210813002681 TX Practitioner - Obstetrics/Gynecology 0345644290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Care PLLCGroup PAC ID 7214840867, 363 clinicians

Practice addresses (Care Compare)

1141 Keller Pkwy
Suite a
Keller, TX 76248-1628
Phone (817) 741-2601

6700 Buenos Aires Dr
N Richland Hills, TX 76180-6566
Phone (817) 281-8245

Hospital & facility affiliations

  • Texas Health Harris Methodist Hospital Alliance Hospital, Fort Worth, TX, CCN 670085

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S2521TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Care, P.L.L.C. CurrentSince Sep 1, 2021 Accepting new patients
Texas Health Care, P.L.L.C. Current Accepting new patients
Texas Health Care, P.L.L.C. Obstetrics & Gynecology CurrentSince Sep 1, 2021 Accepting new patients
Texas Health Harris Methodist Hospital Alliance Past Accepting new patients

Locations

10840 Texas Health Trl
Ste 280
Fort Worth, TX 76244
Phone (817) 284-2693

10840 Texas Health Trl
Ste 265
Fort Worth, TX 76244
Phone (817) 741-2601

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

2821 Lackland Rd
Ste 300
Ft Worth, TX 76116
Phone (817) 740-8400

1141 Keller Pkwy
Ste A
Keller, TX 76248
Phone (817) 741-2601

6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245

Interoperability endpoints

  • FHIR API: https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/
  • Direct secure messaging: nicole.tod.p1@direct.thc.nextgenshare.com

Organizations & group practices 4

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": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1922537562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10840 TEXAS HEALTH TRL STE 265",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446852",
            "telephone_number": "817-741-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10840 TEXAS HEALTH TRL STE 265",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446852",
            "telephone_number": "817-741-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOD",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "S2521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.