NPI age
20 years
Enumerated 2005-07-12
● Active
Type 1 · Individual
DR. Jeffrey W. Fidone, M.D.
Fidone is 1 of 18 internal medicine providers in Tyler and 1 of 479 in Texas.
Primary specialty
Internal Medicine
Plus 3 subspecialties
Licensed in
IN, OK, TX
3 states
Status
Active
No deactivations on record
Last NPPES update
2019-08-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 479 active internal medicine providers in Texas.
NPI age
20 years
↑ 4 yr above median (16 yr)
State licenses
3 states
Top 67% — 32% of peers are multi-state
Subspecialties
1
In the 79% of peers with subspecialties
NPI lifetime · 2005 → 2026
2005-07Enumerated in NPPES
2005
2026
Where they practice
Practice location
15210 County Road 164
Tyler, TX 75703
Mailing address
15210 County Road 164
Tyler, TX 75703
Additional practice locations
1 secondary location on file with NPPES.
Location 2
11104 Parkview Circle Dr Ste 410
Fort Wayne, IN 468450025
Specialties
-
Internal Medicine PrimaryAn internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the...
-
Internal MedicineAn internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 102165102 | |
| 01 (TX) | 290005858 | RR MC |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.