Individual provider Active NPI

Keith Fishbeck, DO

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Nacogdoches, TX
National Provider Identifier
1982145579
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
U2839 Issued in TX
Practice address
3816 N University Dr
Nacogdoches, TX 75965-2011
Phone
(903) 939-7500
NPI assigned
Mar 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X U2839 TX
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X U2839 TX Primary

Addresses

Primary practice location

3816 N University Dr
Nacogdoches, TX 75965-2011

Mailing address

3414 Golden Rd
Tyler, TX 75701-8336
Phone (903) 939-7500

Other practice location 1

2132 Lufkin S 1st Street
Lufkin, TX 75901
Phone (903) 939-7500

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
I20230926002558 TX Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 3971957846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Orthopedic Surgery
Education
University of North Texas HSC, College of Osteopathic Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortholonestar PLLCGroup PAC ID 9931529062, 416 clinicians

Practice addresses (Care Compare)

3816 N University Dr
Nacogdoches, TX 75965-2011
Phone (903) 939-7500

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Nacogdoches, TX, CCN 679432
  • Enhabit Home Health Home health agency, Lufkin, TX, CCN 679509
  • Nacogdoches Medical Center Hospital, Nacogdoches, TX, CCN 450656
  • Nacogdoches Memorial Hospital Hospital, Nacogdoches, TX, CCN 450508
  • Baylor Scott & White Texas Spine & Joint Hospital Hospital, Tyler, TX, CCN 450864
  • CHI St Lukes Health Memorial San Augustine Hospital, San Augustine, TX, CCN 670783

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement11
Knee replacement11
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)21
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ortholonestar, PLLC Orthopaedic Surgery CurrentSince Nov 1, 2023 Accepting new patients
Ortholonestar, PLLC Orthopaedic Surgery CurrentSince Nov 1, 2023 Accepting new patients
Texas Orthopedics Sports & Rehabilitation Associates PA Orthopaedic Surgery Current Accepting new patients

Locations

4700 Seton Center Pkwy
Ste 115
Austin, TX 78759
Phone (346) 440-0644

3800 Gaylord Pkwy
Ste 710
Frisco, TX 75034

2132 S 1st St
Lufkin, TX 75901
Phone (936) 634-3627

3816 N University Dr
Nacogdoches, TX 75965
Phone (936) 305-5301

10223 Broadway St
Ste A
Pearland, TX 77584
Phone (713) 436-3488

3414 Golden Rd
Tyler, TX 75701
Phone (903) 590-3050

Interoperability endpoints

  • Direct secure messaging: keith.fishbeck.1@15533.direct.athenahealth.com

Organizations & group practices 3

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 6

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": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1982145579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 GOLDEN RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018336",
            "telephone_number": "903-939-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652011",
            "telephone_number": "903-939-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2132 Lufkin S 1st Street",
            "address_purpose": "LOCATION",
            "city": "Lufkin",
            "state": "TX",
            "postal_code": "75901",
            "country_code": "US",
            "telephone_number": "903-939-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHBECK",
        "first_name": "KEITH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-15",
        "last_updated": "2025-05-02",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "U2839",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "U2839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.