Dwayne Lee Roberts, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

L8921 Issued in TX

Practice address

1201 Summit Ave
Fort Worth, TX 76102-4427

Phone

(817) 332-2020

Fax

(817) 332-4797

NPI assigned

Jun 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Ophthalmology

Education

University of Texas Medical Branch at Galveston, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ophthalmic Partners , PAGroup PAC ID 4587578364, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical City Fort Worth Hospital, Fort Worth, TX, CCN 450672

Merit-based Incentive Payment System (MIPS)

Final score

92.66 of 100Reported as group

Quality

99.97

Improvement activities

40

Cost

75.57

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: droberts@oafwtx.intellechartdirect.net

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

• Ophthalmic Partners , PA

  • Ophthalmology Physician
  • Fort Worth, TX
  • NPI 1356474050
  Medicare reassignment Care Compare group NPD
• Ophthalmic Partners, PA

  • Ophthalmology Physician
  • Granbury, TX
  • NPI 1568541712
  NPD

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

• Columbia Plaza Medical Center of Fort Worth Subsidiary LP

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1659323772
  Care Compare affiliation

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1114923083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SUMMIT AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761024427",
            "telephone_number": "817-332-2020",
            "fax_number": "817-332-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SUMMIT AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761024427",
            "telephone_number": "817-332-2020",
            "fax_number": "817-332-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "DWAYNE",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L8921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166464101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8J0403",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166464102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marshall Brooks Robert, MD
• Tyrane Roberts-Lagrone
• Allen L Roberts, MD
• Britney Lashell Roberts
• Brittany Roberts, FNP
• Jay Wayne Roberts, D.O.
• Justin Roberts
• Kazlyn Roberts
• Kendrica Deshawn Roberts, LCDC, LPC
• Keylin Roberts

• Ophthalmology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.