Active NPI
Raghu R Turebylu, MD
- Neonatal-Perinatal Medicine Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- N8356
- Practice address
- 1500 S Main St
Fort Worth, TX 76104-4917 - Phone
- (817) 702-3431
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 2006-00445 | NC | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | N8356 | TX | Primary |
Addresses
Primary practice location
1500 S Main St
Fort Worth, TX 76104-4917
Mailing address
PO Box 732973
Dallas, TX 75373-1069
Other practice location 1
600 Moye Blvd
ECU Physicians Pediatrics
Greenville, NC 27834-4300
Phone (252) 744-2335
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143GV | Other | NC | BCBSNC |
| 5906317 | Medicaid | NC |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006-00445 | NC | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acclaim Physician Group, Inc | Current | Accepting new patients | |
| Lone Star Neonatology at North Texas, PLLC | Current | Accepting new patients | |
| Irving Coppell Primary Care Doctors PLLC | Current | Accepting new patients | |
| Tarrant County Hospital District | Past | Accepting new patients |
Locations
3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200
1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701
5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500
3101 N Tarrant Pkwy
Ft Worth, TX 76177
Phone (817) 349-4663
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
200 W Magnolia Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 702-2450
3365 Regent Blvd
Ste 110
Irving, TX 75063
Phone (469) 713-3838
6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000
Interoperability endpoints
- raghu.turebylu.1@11475.direct.athenahealth.com
- https://api.platform.athenahealth.com/11475/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1780076562
-
- Family Medicine Physician
- Mansfield, TX
- NPI 1871973867
-
- Pediatric Critical Care Medicine Physician
- Ft Worth, TX
- NPI 1740088723
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1992753222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1154349199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 732973",
"city": "DALLAS",
"state": "TX",
"postal_code": "753731069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S MAIN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044917",
"telephone_number": "817-702-3431"
}
],
"practiceLocations": [
{
"address_1": "600 Moye Blvd",
"address_2": "ECU Physicians Pediatrics",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "NC",
"postal_code": "278344300",
"country_code": "US",
"telephone_number": "252-744-2335",
"fax_number": "252-744-3811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUREBYLU",
"first_name": "RAGHU",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NC",
"license": "2006-00445",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "TX",
"license": "N8356",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "143GV",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5906317",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.