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DR. JOSE NELLIKAPPALLIL MD
NPI 1124777255
Emergency Medicine in Fort Worth, TX

Active since March 23, 2022PECOS EnrolledAccepts Medicare Assignment
1500 S MAIN ST, FORT WORTH, TX 76104(817) 702-8840 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jose Nellikappallil Md NPPES

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

DR. JOSE NELLIKAPPALLIL MD (NPI 1124777255) is an individual emergency medicine provider in Fort Worth, Texas, licensed in Texas (V2180) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1124777255
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JOSE NELLIKAPPALLILCredential: MD
Location Address1500 S MAIN STFort Worth, TX 76104-4917
Mailing Address1500 S Main StFort Worth, TX 76104-4917 · (817) 702-8840
Phone(817) 702-8840
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 23, 2022
Last NPPES UpdateJanuary 28, 2026
NPPES CertifiedJanuary 28, 2026
✔ NPI 1124777255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · V2180
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1500 S MAIN ST, Fort Worth, TX 76104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jose Nellikappallil Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698213791
PECOS Enrollment IDI20240821000111
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450135
Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Texas Health Harris Methodist Hospital Azle

Acute Care Hospitals · Azle, TX
OwnershipVoluntary non-profit - Church
CMS Certification Number450419
Location108 Denver TrailAzle, TX 76020 · Tarrant County
Emergency services

Texas Health Harris Methodist Hospital Alliance

Acute Care Hospitals · Fort Worth, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670085
Location10864 Texas Health TrailFort Worth, TX 76244 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN A LAZARINI MD
Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (903) 353-2265
ALLYSON EVANS
Nurse Anesthetist, Certified Registered
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (801) 792-5267
DR. TREVOR A JOHNSON MD
Family Medicine
1500 S MAIN ST
FT WORTH, TX 76104
Tarrant County (817) 702-3431
DR. LELIA ERRETT WILLIAMS MD
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-1244
MITCHELL JOHNSON
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-1100
RIDDHI RANE MD
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-6500
DR. JOANE BAUMER M.D.
Family Medicine
1500 S MAIN ST, FAMILY MEDICINE CENTER
FORT WORTH, TX 76104
Tarrant County (817) 335-1034
SHARYL WORKMAN PA
Physician Assistant
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 927-1100

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 Jose Nellikappallil's NPI number?

The NPI number for Jose Nellikappallil is 1124777255. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Jose Nellikappallil located?

Jose Nellikappallil practices at 1500 S Main St, Fort Worth, TX 76104. The listed phone number is (817) 702-8840.

What is Jose Nellikappallil's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jose Nellikappallil enrolled in Medicare?

Yes. Jose Nellikappallil is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jose Nellikappallil accept?

Health plans from Blue Cross and Blue Shield of Texas list Jose Nellikappallil as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jose Nellikappallil affiliated with any hospitals?

According to CMS data, Jose Nellikappallil is affiliated with Texas Health Harris Methodist Hospital Fort Worth, Texas Health Harris Methodist Hospital Azle and Texas Health Harris Methodist Hospital Alliance.

When was this NPI record last updated?

The NPPES record for Jose Nellikappallil was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.