Individual provider Active NPI

Catherine Harrell, MD

  • Dermatology Physician
  • Fort Worth, TX
National Provider Identifier
1982976205
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
P2057 Issued in TX
Practice address
800 8TH Ave
Ste 326
Fort Worth, TX 76104-2602
Phone
(817) 885-8222
NPI assigned
Feb 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X BP20039384 TX
Internal Medicine Physician 207R00000X BP20039384 TX
Dermatology Physician 207N00000X P2057 TX Primary

Addresses

Primary practice location

800 8TH Ave
Ste 326
Fort Worth, TX 76104-2602

Mailing address

6100 Southwest Blvd
Ste 315
Benbrook, TX 76109-3985
Phone (817) 885-8222

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
I20140721001587 TX Practitioner - Dermatology 9436375847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical School at Houston, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Specialists of Fort Worth PLLCGroup PAC ID 4587917117, 6 clinicians

Practice addresses (Care Compare)

6131 Southwest Blvd
Suite 100
Benbrook, TX 76132-1047
Phone (817) 989-1221

Merit-based Incentive Payment System (MIPS)

Final score
88.74 of 100Reported as individual
Quality
83.88
Promoting interoperability
100
Improvement activities
40
Cost
78.59

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision60
Removal of skin lesions1148
Removal or shaving of skin growth1-10
Skin biopsy292

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP20039384TXMDDermatology Physician
P2057TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Specialists of Fort Worth PLLC Dermatology CurrentSince Apr 28, 2018 Accepting new patients

Locations

6131 Southwest Blvd
Ste 100
Benbrook, TX 76132
Phone (817) 989-1221

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1982976205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 SOUTHWEST BLVD",
            "address_2": "STE 315",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761093985",
            "telephone_number": "817-885-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 8TH AVE",
            "address_2": "STE 326",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042602",
            "telephone_number": "817-885-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-01",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "BP20039384",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP20039384",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "P2057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.