Individual provider Active NPI

John L Fewins Jr., M.D.

  • Otolaryngology Physician
  • Fort Worth, TX
National Provider Identifier
1982662672
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
L6377 Issued in TX
Practice address
2000 Cooper St Ste 100a
Fort Worth, TX 76104-2528
Phone
(817) 335-0368
Fax
(817) 335-5766
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X L6377 TX Primary

Addresses

Primary practice location

2000 Cooper St Ste 100a
Fort Worth, TX 76104-2528

Mailing address

PO Box 961205
Fort Worth, TX 76161-1205
Phone (817) 740-8400

Other identifiers 2

IdentifierTypeStateIssuer
158349402MedicaidTX
P00785507OtherTXRAILROAD ROAD MEDICARE

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
I20090120000354 TX Practitioner - Otolaryngology 9931279882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Care PLLCGroup PAC ID 7214840867, 363 clinicians

Practice addresses (Care Compare)

2000 Cooper St
Fort Worth, TX 76104-2528

6700 Buenos Aires Dr
N Richland Hills, TX 76180-6566
Phone (817) 281-8245

920 Santa Fe Dr
Suite 103
Weatherford, TX 76086-5865
Phone (817) 339-8855

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.51 of 100Reported as apm
Quality
85.62
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L6377TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Care, P.L.L.C. Current Accepting new patients
Acclaim Physician Group, Inc CurrentSince Dec 11, 2017 Accepting new patients
Texas Health Care, P.L.L.C. Otolaryngology CurrentSince Nov 1, 2008 Accepting new patients
Texas Health Care, P.L.L.C. Otolaryngology CurrentSince Nov 1, 2008 Accepting new patients

Locations

1317 Glenwood Dr
Cleburne, TX 76033
Phone (817) 641-3750

800 8th Ave
Ste 626
Fort Worth, TX 76104
Phone (817) 243-7995

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

800 8th Ave
Ste 336
Fort Worth, TX 76104
Phone (817) 335-0368

6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245

920 Santa Fe Dr
Ste 103
Weatherford, TX 76086
Phone (817) 339-8855

Interoperability endpoints

  • Direct secure messaging: john.fewins.p1@direct.thc.nextgenshare.com

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.

Hospital & facility affiliations 1

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1982662672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 961205",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761611205",
            "telephone_number": "817-740-8400",
            "fax_number": "817-335-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 COOPER ST STE 100A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042528",
            "telephone_number": "817-335-0368",
            "fax_number": "817-335-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEWINS",
        "first_name": "JOHN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "L6377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158349402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD ROAD MEDICARE",
            "identifier": "P00785507",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.