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JAKE AUSTIN ALFORD MD
NPI 1780189290
Surgery - Plastic and Reconstructive Surgery in Fort Worth, TX

Active since March 27, 2018PECOS EnrolledAccepts Medicare Assignment
1500 COOPER ST, FORT WORTH, TX 76104(682) 885-7770(682) 303-1575 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2025, Jul 1, 2024, Mar 27, 2018 (3 updates tracked since 2018).

About Jake Austin Alford Md NPPES

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

JAKE AUSTIN ALFORD MD (NPI 1780189290) is an individual plastic and reconstructive surgery provider in Fort Worth, Texas, licensed in Texas (V8658) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1780189290
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameJAKE AUSTIN ALFORDCredential: MD
Location Address1500 COOPER STFort Worth, TX 76104-2710
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-6483 · Fax (682) 885-3113
Phone(682) 885-7770
Fax(682) 303-1575
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 27, 2018
Last NPPES UpdateOctober 8, 20253 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
✔ NPI 1780189290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in TX · V8658
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedPlastic SurgeryTaxonomy 208200000X · License A164595 (CA)
1500 COOPER ST, Fort Worth, TX 76104
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1200 Ucla Medical Plz Ste 460Los Angeles, CA 90095-2050 · Phone (310) 825-5510
Location 23113 Preston Hollow RdFort Worth, TX 76109-2050 · Phone (817) 228-8232

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..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

Jake Austin Alford 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 ID143631796
PECOS Enrollment IDI20250828005533
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.

Medicare Billing Reassignment

Medicare enrollment records show Jake Alford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cook Children's Physician Network
Same address
Developmental - Behavioral Pediatrics
1500 COOPER ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Cook Childrens Physician Network
  • 1,186 clinicians in this Medicare group
NPI 1548230923 (682) 303-9200

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

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.

KATRINA L WILLIE-MUSOMA MD
Pediatrics (Neurodevelopmental Disabilities)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 303-9300
SCHARLYN R HENDERSON LCSW
Social Worker (Clinical)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-1475
GREGORY BARKER
Pediatrics (Pediatric Cardiology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2140
DR. ELORA PATTANAIK CORBIN M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2500
SHANE KELLEHER PA-C
Physician Assistant
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-7840
BENJAMIN CRAIG PA-C
Physician Assistant
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2500
DR. SHAILENDRA DAS D.O.
Pediatrics (Pediatric Pulmonology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-6299
JAMES C CUNNINGHAM MD
Pediatrics (Pediatric Pulmonology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-6299

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 Jake Alford's NPI number?

The NPI number for Jake Alford is 1780189290. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Jake Alford located?

Jake Alford practices at 1500 Cooper St, Fort Worth, TX 76104. The listed phone number is (682) 885-7770.

What is Jake Alford's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Jake Alford enrolled in Medicare?

Yes. Jake Alford 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 organization bills Medicare for Jake Alford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jake Alford reassigns Medicare benefits to Cook Children's Physician Network (Fort Worth, TX). The 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 Jake Alford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jake Alford accept?

Health plans from Imperial Insurance Companies, Inc. list Jake Alford 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 Jake Alford was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.