DR. JASON ALBERT KOURI M.D. - NPI 1649276965 - Family Medicine in Fort Worth, TX

Q: What is Jason Kouri's NPI number?

The NPI number for Jason Kouri is 1649276965. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Q: What is Jason Kouri's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Q: When was this NPI record last updated?

The NPPES record for Jason Kouri was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

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About Dr. Jason Albert Kouri M.d. NPPES

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

DR. JASON ALBERT KOURI M.D. (NPI 1649276965) is an individual adult medicine provider in Fort Worth, Texas, licensed in Texas (P3183) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Grapevine.

NPPES Registry Identity

NPI1649276965

Entity TypeIndividualMale

Primary Taxonomy207QA0505X

Provider Legal NameDR. JASON ALBERT KOURICredential: M.D.

Location Address903 SUMMIT AVEFort Worth, TX 76102-3421

Mailing Address903 Summit AveFort Worth, TX 76102-3421 · (817) 877-5353 · Fax (817) 877-5357

Phone(817) 877-5353

Fax(817) 877-5357

Sole ProprietorNo

Enumeration DateJune 22, 2005

Last NPPES UpdateJune 30, 20202 updates tracked since enumeration

NPPES CertifiedJune 30, 2020

✔ NPI 1649276965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

Licenses✔ Licensed in TX · P3183✔ Licensed in CA · A63589

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

903 SUMMIT AVE, Fort Worth, TX 76102

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Secondary Practice Location 1

Location 11025 S Main St Ste 305Grapevine, TX 76051-7506 · Phone (817) 251-0550 · Fax (817) 251-0599

Other Identifiers 1

Medicaid00A635890CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company.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)

Dr. Jason Albert Kouri M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76102 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 6

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

MR. JASON MEYER D.C.

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