DR. JOSE NELLIKAPPALLIL MD
NPI 1124777255
Emergency Medicine in Fort Worth, TX
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Jose Nellikappallil reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- 328 clinicians in this Medicare group
Fort Worth, TX 76112
- Reassigned Medicare billing, Texas enrollment
- 545 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, TXTexas Health Harris Methodist Hospital Azle
Acute Care Hospitals · Azle, TXTexas Health Harris Methodist Hospital Alliance
Acute Care Hospitals · Fort Worth, TXPhysician 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.
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.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
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.
Which organizations bill Medicare for Jose Nellikappallil's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jose Nellikappallil reassigns Medicare benefits to 2 organizations: Integrative Emergency Services Physician Group PA (Fort Worth, TX) and Texas Medicine Resources, LLP (Fort Worth, TX). Each 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 Jose Nellikappallil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 8 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.
# Dr. Jose Nellikappallil, MD · NPI 1124777255
Emergency Medicine physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since March 23, 2022.
## Identity
- **NPI:** 1124777255 (Entity type: Individual)
- **Enumerated:** March 23, 2022
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** V2180 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1500 S MAIN ST, Fort Worth, TX 76104-4917
- **Phone:** (817) 702-8840
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Integrative Emergency Services Physician Group PA (NPI 1285922542, Fort Worth, TX); Texas Medicine Resources, LLP (NPI 1376581900, Fort Worth, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** January 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124777255) · Data from the CMS NPPES public registry.