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RICHARD J JACKSON MD
NPI 1215027883
Surgery - Pediatric Surgery in Temple, TX

Active since October 13, 2006PECOS Enrolled
1901 SW H K DODGEN LOOP, TEMPLE, TX 76502(254) 935-4000(254) 935-4111 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 8, 2021, Sep 15, 2020, Oct 14, 2019 (3 updates tracked since 2019).

About Richard J Jackson Md NPPES

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

RICHARD J JACKSON MD (NPI 1215027883) is an individual pediatric surgery provider in Temple, Texas, licensed in Texas (N3094) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215027883
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameRICHARD J JACKSONCredential: MD
Location Address1901 SW H K DODGEN LOOPTemple, TX 76502-3500
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (254) 724-2111
Phone(254) 935-4000
Fax(254) 935-4111
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateJune 8, 20213 updates tracked since enumeration
NPPES CertifiedJune 8, 2021
✔ NPI 1215027883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Licenses✔ Licensed in TX · N3094✔ Licensed in AR · N-8271
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
1901 SW H K DODGEN LOOP, Temple, TX 76502
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Other Identifiers 5

Medicaid125912907TX
Medicaid121627001AR
Medicaid140442852TX
Medicaid125912908TX
Medicaid137345810TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard J Jackson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MS. GINA MARIE HEISS HARRIS RNC, NNP
Nurse Practitioner (Neonatal, Critical Care)
1901 SW H K DODGEN LOOP
TEMPLE, TX 76502
Bell County (254) 724-5437
VAN STEVEN MASK M.D.
Emergency Medicine (Emergency Medical Services)
1901 SW H K DODGEN LOOP
TEMPLE, TX 76502
Bell County (254) 771-8600
DR. MADHAVA REDDY BEERAM M.D.
Pediatrics
1901 SW H K DODGEN LOOP
TEMPLE, TX 76502
Bell County (254) 935-4000
BAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC.
Pharmacy (Community/Retail Pharmacy)
1901 SW H K DODGEN LOOP, BUILDING 300
TEMPLE, TX 76502
Bell County (254) 935-4888
MARIE ALLYSON MANNING MD
Emergency Medicine
1901 SW H K DODGEN LOOP
TEMPLE, TX 76502
Bell County (254) 724-5437
KING'S DAUGHTERS HOSPITAL ASSOCIATION
Skilled Nursing Facility
1901 SW H K DODGEN LOOP
TEMPLE, TX 76502
Bell County (254) 771-8600
EDWIN HERNANDEZ CARO MD
Pediatrics (Pediatric Pulmonology)
1901 SW H K DODGEN LOOP
TEMPLE, TX 76502
Bell County (254) 724-5437
TRACI BARTZ OTR
Occupational Therapist (Pediatrics)
1901 SW H K DODGEN LOOP
TEMPLE, TX 76502
Bell County (254) 724-2111

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 Richard Jackson's NPI number?

The NPI number for Richard Jackson is 1215027883. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Richard Jackson located?

Richard Jackson practices at 1901 SW H K Dodgen Loop, Temple, TX 76502. The listed phone number is (254) 935-4000.

What is Richard Jackson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Richard Jackson enrolled in Medicare?

Yes. Richard Jackson is registered in the Medicare PECOS enrollment system.

What insurance does Richard Jackson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 6 other insurers list Richard Jackson 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.

When was this NPI record last updated?

The NPPES record for Richard Jackson was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.