Active NPI
Michael Dennis Massey, M.D.
- Internal Medicine Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- K8794
- Practice address
- 5801 Oakbend TRL
Suite 200
Fort Worth, TX 76132-3912 - Phone
- (817) 294-9000
- Fax
- (817) 294-9010
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | K8794 | TX | Primary |
Addresses
Primary practice location
5801 Oakbend TRL
Suite 200
Fort Worth, TX 76132-3912
Mailing address
5801 Oakbend TRL
Suite 200
Fort Worth, TX 76132-3912
Phone (817) 294-9000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8G4621 | Other | TX | BCBS |
| 043122303 | Medicaid | TX | |
| P00052243 | Other | TX | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Internal Medicine | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Internal Medicine | Current | Accepting new patients |
| Pacific Medical Group, PC | Past | Accepting new patients |
Locations
5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920
8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
5801 Oakbend Trl
Ste 200
Ft Worth, TX 76132
Phone (817) 294-9000
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61288
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.
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Family Medicine Physician
- Colleyville, TX
- NPI 1235135906
Internal Medicine
-
- Clinic/Center
- Lake Oswego, OR
- NPI 1477636561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248912000000",
"number": "1962427625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5801 OAKBEND TRL",
"address_2": "SUITE 200",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761323912",
"telephone_number": "817-294-9000",
"fax_number": "817-294-9010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 OAKBEND TRL",
"address_2": "SUITE 200",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761323912",
"telephone_number": "817-294-9000",
"fax_number": "817-294-9010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSEY",
"first_name": "MICHAEL",
"middle_name": "DENNIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2009-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "K8794",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8G4621",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "043122303",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00052243",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.