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WILLIAM J. VAN WYK M.D., P.A.
NPI 1073781050
Clinic/Center - Medical Specialty in Fort Worth, TX

Active since February 13, 2008
803 W TERRELL AVE, FORT WORTH, TX 76104(817) 877-3113(817) 877-0022 Get Directions Write a Review

NPPES record last updated: February 16, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About William J. Van Wyk M.d., P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM J. VAN WYK M.D., P.A. (NPI 1073781050) is a healthcare organization registered as a medical specialty in Fort Worth, Texas and active in the NPI registry since February 2008. The organization lists William J. Van Wyk, President, as its authorized official.

NPPES Registry Identity

NPI1073781050
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameWILLIAM J. VAN WYK M.D., P.A.
Location Address803 W TERRELL AVEFort Worth, TX 76104-3155
Mailing Address803 W Terrell AveFort Worth, TX 76104-3155 · (817) 877-3113 · Fax (817) 877-0022
Phone(817) 877-3113
Fax(817) 877-0022
Organization SubpartNo
Authorized OfficialWilliam J. Van WykPresident · (817) 877-3113
Enumeration DateFebruary 13, 2008
Last NPPES UpdateFebruary 16, 2011
✔ NPI 1073781050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in TX · D9696
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
803 W TERRELL AVE, Fort Worth, TX 76104
Open in Google Maps ↗

Other Identifiers 1

Medicare PINOA3129TX

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William J. Van Wyk M.d., P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to William J. Van Wyk M.D., P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

William Van Wyk, MD PA
Orthopedic Surgery
NPI 1558361915
803 W TERRELL AVE
Fort Worth, TX 76104
(817) 877-3113
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William J. Van Wyk M.D., P.A.'s NPI number?

The NPI number for William J. Van Wyk M.D., P.A. is 1073781050. It was assigned to this organization in the NPPES registry on February 13, 2008.

Where is William J. Van Wyk M.D., P.A. located?

William J. Van Wyk M.D., P.A. is located at 803 W Terrell Ave, Fort Worth, TX 76104. The listed phone number is (817) 877-3113.

What is William J. Van Wyk M.D., P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is William J. Van Wyk M.D., P.A. enrolled in Medicare?

Yes. William J. Van Wyk M.D., P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through William J. Van Wyk M.D., P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to William J. Van Wyk M.D., P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for William J. Van Wyk M.D., P.A. was last updated on February 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.