NPIMap

Individual provider Active NPI

Robert Warren Israel Jr., M.D.

  • Internal Medicine Physician
  • Irving, TX
National Provider Identifier
1154347227
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
F6782 Issued in TX
Practice address
2001 N Macarthur Blvd
Suite 500a
Irving, TX 75061-2222
Phone
(972) 251-4050
Fax
(972) 251-4052
NPI assigned
Jul 14, 2006
Last updated
Jul 31, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X F6782 TX Primary

Addresses

Primary practice location

2001 N Macarthur Blvd
Suite 500a
Irving, TX 75061-2222

Mailing address

2001 N Macarthur Blvd
Suite 500a
Irving, TX 75061-2256
Phone (972) 251-4050

Other identifiers 2

IdentifierTypeStateIssuer
85488XOtherTXBCBS
042035801MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100324000471 TX Practitioner - Internal Medicine 1759416126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Texas Tech University Health Science Center School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

2005 W Park Dr
Irving, TX 75061-2034

2021 N Macarthur Boulevard
Irving, TX 75061-2210

4001 Worth St
Dallas, TX 75246-1608

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F6782TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Feb 1, 2000 Accepting new patients
Healthtexas Provider Network Internal Medicine CurrentSince Feb 1, 2000 Accepting new patients
Healthtexas Provider Network Past Accepting new patients
Bir JV LLP Past Accepting new patients

Locations

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

2001 N MacArthur Blvd
Ste 500A
Irving, TX 75061
Phone (972) 251-4050

2005 W Park Dr
Ste 300
Irving, TX 75061
Phone (469) 800-1050

Interoperability endpoints

  • Direct secure messaging: risrael226183@direct.sw.org

Organizations & group practices 4

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 10

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248998400000",
    "number": "1154347227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N MACARTHUR BLVD",
            "address_2": "SUITE 500A",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612256",
            "telephone_number": "972-251-4050",
            "fax_number": "972-251-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N MACARTHUR BLVD",
            "address_2": "SUITE 500A",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612222",
            "telephone_number": "972-251-4050",
            "fax_number": "972-251-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRAEL",
        "first_name": "ROBERT",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2009-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F6782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "85488X",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042035801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.