Individual provider Active NPI

Rito Joel Munoz, MPAS, PA-C

  • Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1154761195
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08469 Issued in TX
Practice address
2223 NE 28TH St
Fort Worth, TX 76106-7418
Phone
(817) 624-3211
Fax
(817) 625-9835
NPI assigned
Jul 3, 2013
Last updated
Apr 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA08469 TX Primary

Addresses

Primary practice location

2223 NE 28TH St
Fort Worth, TX 76106-7418

Mailing address

2223 NE 28TH St
Fort Worth, TX 76106-7418
Phone (817) 624-3211

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140124000056 TX Practitioner - Physician Assistant 8325276140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

2223 NE 28TH St
Wellmed at Diamond Hill
Fort Worth, TX 76106-7418
Phone (817) 624-3211

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

8030 Camp Bowie W Blvd
Wellmed at West Camp Bowie
Ft. Worth, TX 76116
Phone (817) 244-4620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA08469TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Worth Family Practice Associated Current Accepting new patients
Wellmed Medical Group, PA CurrentSince Apr 10, 2023 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Apr 10, 2023 Accepting new patients

Locations

3310 Live Oak St
Ste 30
Dallas, TX 75204
Phone (972) 942-3410

2223 NE 28th St
Ft Worth, TX 76106
Phone (817) 624-3211

800 8th Ave
Ste 528
Ft Worth, TX 76104
Phone (817) 336-5633

8030 Camp Bowie West Blvd
Ft Worth, TX 76116
Phone (817) 244-4620

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • Direct secure messaging: rito.munoz@wellmed.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1154761195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 NE 28TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761067418",
            "telephone_number": "817-624-3211",
            "fax_number": "817-625-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 NE 28TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761067418",
            "telephone_number": "817-624-3211",
            "fax_number": "817-625-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "RITO",
        "middle_name": "JOEL",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-03",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.