Active NPI
Janice Kelly Tomberlin, M.D.
- Radiation Oncology Physician
- Bedford, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- H2839
- Practice address
- 1612 Hospital Pkwy
Bedford, TX 76022-6913 - Phone
- (817) 685-4700
- Fax
- (817) 685-4595
- NPI assigned
- Jun 4, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | H2839 | TX | Primary |
Addresses
Primary practice location
1612 Hospital Pkwy
Bedford, TX 76022-6913
Mailing address
PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136929001 | Medicaid | TX | |
| 136929005 | Medicaid | TX | |
| 136929010 | Other | TX | CSHCN |
| 136929012 | Medicaid | TX | |
| 8R1570 | Other | TX | BLUE CROSS OF TEXAS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- University of Texas Medical School at San Antonio, 1986
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3001 E President George Bush Hwy
Suite 100
Richardson, TX 75082-3542
PO Box
Suite 911242
Dallas, TX 75391
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.12 of 100
- Quality
- 67.48
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Radiation Oncology | Current | Accepting new patients |
| Texas Oncology PA | Radiation Oncology | Current | Accepting new patients |
| American Radiology Consultants PLLC | Past | Accepting new patients |
Locations
515 W Mayfield Rd
Ste 101
Arlington, TX 76014
Phone (817) 467-6092
1609 Hospital Pkwy
Bedford, TX 76022
Phone (817) 359-9000
4201 Brown Trl
Ste 101
Colleyville, TX 76034
Phone (682) 217-2102
7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000
10425 N Central Expy
Dallas, TX 75231
Phone (214) 361-2025
7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313
6500 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 263-2600
9750 Hillwood Pkwy
Ft Worth, TX 76177
Phone (817) 697-5620
1631 Lancaster Dr
Ste 150
Grapevine, TX 76051
Phone (817) 251-9080
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
Interoperability endpoints
- janice.tomberlin@txo.ikm.direct-ci.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.
-
- Diagnostic Radiology Physician
- Dallas, TX
- NPI 1669425195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213920000000",
"number": "1982642443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 911230",
"city": "DALLAS",
"state": "TX",
"postal_code": "753911230",
"telephone_number": "972-997-8000",
"fax_number": "972-437-9605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 HOSPITAL PKWY",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760226913",
"telephone_number": "817-685-4700",
"fax_number": "817-685-4595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMBERLIN",
"first_name": "JANICE",
"middle_name": "KELLY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-04",
"last_updated": "2008-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TX",
"license": "H2839",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136929001",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136929005",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "136929010",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136929012",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF TEXAS",
"identifier": "8R1570",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.
- 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.