JOHN TEXADA MD NPI 1003021783

Radiology (Diagnostic Radiology) in Knoxville, TN

NPI 1003021783 Individual Male Years of Experience 19 Radiology Diagnostic Radiology PECOS Enrolled Accepts Medicare Approved Payment

About JOHN TEXADA

John Texada is a provider established in Knoxville, Tennessee and his medical specialization is radiology (diagnostic radiology) with more than 19 years of experience. He graduated from Louisiana State University School Of Medicine In New Orleans in 2003. The NPI number of John Texada is 1003021783 and was assigned on May 2007. The practitioner's primary taxonomy code is 2085R0202X with license number 45370 (TN). The provider is registered as an individual and his NPI record was last updated 5 years ago.

John Texada is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

John Texada is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Parkwest Medical Center, Fort Sanders Regional Medical Center, Claiborne Medical Center, Tennova Health Care-cleveland and Leconte Medical Center.

NPI

1003021783

Provider Name JOHN TEXADA MD
Provider Location Address4709 PAPERMILL DR STE 201 KNOXVILLE, TN 37909
Provider Mailing Address4709 PAPERMILL DR STE 201 KNOXVILLE, TN 37909
GenderMale
NPI Entity TypeIndividual
Medical School NameLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year2003
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-14-2007
Last Update Date11-29-2016


Primary Taxonomy

Taxonomy Code2085R0202X
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationDiagnostic Radiology
License No.45370
License StateTN
Taxonomy DescriptionA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

JOHN TEXADA MD
4709 PAPERMILL DR STE 201
KNOXVILLE, TN
ZIP 37909
Phone: (865) 766-6870

Get Directions


Mailing Address

JOHN TEXADA MD
4709 PAPERMILL DR STE 201
KNOXVILLE, TN
ZIP 37909
Phone: (865) 766-6870



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID1355412982
PECOS Enrollment IDI20090820000272, I20190318000107
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 1620X-ray of chest, 1 view, front (HCPCS:71010)
  • 803X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 211CT scan of abdomen and pelvis (HCPCS:74176)
  • 170CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • 137X-ray of abdomen, single view (HCPCS:74000)
  • 100X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • 93Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • 85X-ray of knee, 3 views (HCPCS:73562)
  • 83X-ray of foot, minimum of 3 views (HCPCS:73630)
  • 60Nuclear medicine study with CT imaging skull base to mid-thigh (HCPCS:78815)
  • 54X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • 51Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • 42X-ray of hand, minimum of 3 views (HCPCS:73130)
  • 34Bone and/or joint imaging, whole body (HCPCS:78306)
  • 33Ultrasound of head and neck (HCPCS:76536)
  • 20Nuclear medicine study of lung ventilation and blood circulation in the lungs (HCPCS:78582)
  • 19Ultrasound pelvis through vagina (HCPCS:76830)
  • 16X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • 16Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)
  • 11Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. John Texada is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
PARKWEST MEDICAL CENTER9352 PARK WEST BLVD
KNOXVILLE, TN 37923
(865) 970-9800Acute Care Hospitals440173
FORT SANDERS REGIONAL MEDICAL CENTER1901 W CLINCH AVE
KNOXVILLE, TN 37916
(865) 541-1101Acute Care Hospitals440125
CLAIBORNE MEDICAL CENTER1850 OLD KNOXVILLE HIGHWAY
TAZEWELL, TN 37879
(423) 626-4211Acute Care Hospitals440057
TENNOVA HEALTH CARE-CLEVELAND2305 CHAMBLISS AVE NW
CLEVELAND, TN 37311
(423) 339-4132Acute Care Hospitals440185
LECONTE MEDICAL CENTER742 MIDDLECREEK ROAD
SEVIERVILLE, TN 37862
(865) 446-7500Acute Care Hospitals440081

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1514586MEDICAID (05)TN
3042220MEDICARE PIN (08)TN

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.