Individual provider Active NPI

Robert Dale Anderson, MD

  • Cardiovascular Disease Physician
  • Fort Worth, TX
National Provider Identifier
1063409001
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
H2211 Issued in TX
Practice address
1300 W Terrell Ave
#500
Fort Worth, TX 76104-2800
Phone
(817) 252-5000
Fax
(817) 252-5060
NPI assigned
Oct 4, 2005
Last updated
Apr 9, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X H2211 TX Primary

Addresses

Primary practice location

1300 W Terrell Ave
#500
Fort Worth, TX 76104-2800

Mailing address

1300 W Terrell Ave
#500
Fort Worth, TX 76104-2800
Phone (817) 252-5000

Other identifiers 3

IdentifierTypeStateIssuer
P00246112OtherTXRAIL ROAD MEDICARE
1326811-02MedicaidTX
85V815OtherTXBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071227000081 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3971698176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

6100 Harris Pkwy
Suite 1200
Fort Worth, TX 76132-4130
Phone (817) 263-3724

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.32 of 100Reported as individual
Quality
80.51
Promoting interoperability
100
Improvement activities
40
Cost
64.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group Cardiovascular Disease CurrentSince Jan 1, 2011 Accepting new patients
Texas Health Physicians Group CurrentSince Jan 1, 2011 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

203 Walls Dr
Cleburne, TX 76033
Phone (817) 336-4433

6100 Harris Pkwy
Ste 1200
Fort Worth, TX 76132
Phone (817) 263-3724

1300 W Terrell Ave
Ft Worth, TX 76104
Phone (817) 702-9000

1300 W Terrell Ave
Ste 500
Ft Worth, TX 76104
Phone (817) 252-5000

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

Interoperability endpoints

  • Direct secure messaging: randerson10145@direct.texashealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1063409001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W TERRELL AVE",
            "address_2": "#500",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042800",
            "telephone_number": "817-252-5000",
            "fax_number": "817-252-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W TERRELL AVE",
            "address_2": "#500",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042800",
            "telephone_number": "817-252-5000",
            "fax_number": "817-252-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ROBERT",
        "middle_name": "DALE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "H2211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00246112",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326811-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "85V815",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.