John Alphonse Bousquet III, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G8017 Issued in TX

Practice address

505 N Highway 77
Suite 200
Waxahachie, TX 75165-1128

Phone

(972) 923-1686

Fax

(972) 923-9268

NPI assigned

Jun 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Internal Medicine

Education

University of Texas Medical School at San Antonio, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Green Oaks Physical Therapy Limited PartnershipGroup PAC ID 4688582141, shared by 2 NPIs, 208 clinicians

Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Angels Care Home Health Home health agency, Weatherford, TX, CCN 677099
• Texas Home Health Group of Desoto, LLC Home health agency, Desoto, TX, CCN 679103
• Infinite Care Home Health Inc Home health agency, Waxahachie, TX, CCN 679431
• Baylor Scott & White Medical Center- Waxahachie Hospital, Waxahachie, TX, CCN 450372
• Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Healthtexas Provider Network

  • Rural Health Clinic/Center
  • Greenville, TX
  • NPI 1790723468

  Corporate Director

  CMS ownership

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.

• Healthtexas Provider Network

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1760488936

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Healthtexas Provider Network

  • Family Medicine Physician
  • Plano, TX
  • NPI 1003811639
  NPD
• Healthtexas Provider Network

  • Anesthesiology Physician
  • Lakeway, TX
  • NPI 1104714583
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baylor Medical Center at Waxahachie

  • General Acute Care Hospital
  • Waxahachie, TX
  • NPI 1265430177
  Care Compare affiliation
• Bir JV LLP

  • Rehabilitation Hospital
  • Dallas, TX
  • NPI 1538465901

  Inpatient rehabilitation facility

  Care Compare affiliation
• E Medical Group of Texas No 1 LLC

  • Home Health Agency
  • Weatherford, TX
  • NPI 1073135927
  Care Compare affiliation
• Infinite Care Home Health, Inc.

  • Home Health Agency
  • Midlothian, TX
  • NPI 1871685826
  Care Compare affiliation
• Texas Home Health Group of de Soto, LLC

  • Home Health Agency
  • De Soto, TX
  • NPI 1316432180
  Care Compare affiliation

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243555200000",
    "number": "1932145273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N HIGHWAY 77",
            "address_2": "SUITE 200",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651128",
            "telephone_number": "972-923-1686",
            "fax_number": "972-923-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N HIGHWAY 77",
            "address_2": "SUITE 200",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651128",
            "telephone_number": "972-923-1686",
            "fax_number": "972-923-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUSQUET",
        "first_name": "JOHN",
        "middle_name": "ALPHONSE",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2009-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G8017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144669-04",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8BR079",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114466905",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "84Y716",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bluebonnet Surgery Pavilion LLC
• Benjamin John Boaz, LPC
• Benjamin D Boone Jr., MD
• Carly Jay Boone, PA-C
• Anastasia E Bourne, ATC, LAT
• Yolanda Cowley Brady, M.D.
• Natasha Anastasia Braley, A-GNP-C
• Matthew Parker Branch, MD
• Angela Brandt
• Claire Marie Bridgford, PT

• Internal Medicine Physician in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.