Individual provider Active NPI

Joseph D Cordova, M.D.

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1932142445
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M2589 Issued in TX
Practice address
2450 Oak Hill Cir
Fort Worth, TX 76109-9509
Phone
(817) 923-1515
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M2589 TX Primary

Addresses

Primary practice location

2450 Oak Hill Cir
Fort Worth, TX 76109-9509

Mailing address

2450 Oak Hill Cir
Fort Worth, TX 76109-9517
Phone (817) 923-1515

Other identifiers 3

IdentifierTypeStateIssuer
185663507MedicaidTX
0019PTOtherTXBCBS
185663501MedicaidTX

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
I20070730000382 TX Practitioner - Emergency Medicine 9133220510 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Medicine Resources, LLP CurrentSince Apr 15, 2013 Accepting new patients
Questcare Medical Services, PLLC CurrentSince Nov 1, 2009 Accepting new patients
Questcare Medical Services, PLLC Current Accepting new patients
Questcare Medical Services PLLC CurrentSince Nov 1, 2009 Accepting new patients
Glen Rose Medical Foundation Inc. Past Accepting new patients
Glen Rose Medical Foundation Past Accepting new patients

Locations

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

108 Denver Trl
Azle, TX 76020
Phone (817) 444-8600

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

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1932142445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 OAK HILL CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761099517",
            "telephone_number": "817-923-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 OAK HILL CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761099509",
            "telephone_number": "817-923-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "JOSEPH",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M2589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185663507",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0019PT",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185663501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.