James E Repasky, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F4422 Issued in TX

Practice address

1718 S Henderson Blvd
#7
Kilgore, TX 75662-3553

Phone

(903) 983-2110

NPI assigned

Feb 17, 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 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Christus Trinity Clinic Texas

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1285684225
  Medicare reassignment NPD
• Christus Trinity Clinic Texas

  • Rural Health Clinic/Center
  • Winnsboro, TX
  • NPI 1801673165
  NPD
• East Texas Treatment Center

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Kilgore, TX
  • NPI 1023002425
  NPD (past)

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1942275565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846098",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846098",
            "telephone_number": "903-324-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 S HENDERSON BLVD",
            "address_2": "#7",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756623553",
            "telephone_number": "903-983-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPASKY",
        "first_name": "JAMES",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F4422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133511903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rae of Hope, PLLC
• Rebirth Counseling, LLC
• Rebirth Counseling, PLLC
• Rebirth Counseling, PLLC
• Robin Elaine Reinhart, RN
• Rescue Angels Adult Care
• Michelle Alvarado Reynolds, FNP-C
• Jadie Bolton Roberts, OD
• Jerry Ted Roberts, O.D.
• Luther Daniel Sammons, MA, LPC

• Family Medicine Physician in Kilgore, TX
• Providers in Kilgore, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.