Individual provider Active NPI

Joseph W Nawrocki, MD

  • Emergency Medicine Physician
  • Arlington, TX
National Provider Identifier
1174509053
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
J5847 Issued in TX
Practice address
3301 Matlock Rd
Arlington, TX 76015-2908
Phone
(972) 758-3598
NPI assigned
Dec 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X J5847 TX Primary

Addresses

Primary practice location

3301 Matlock Rd
Arlington, TX 76015-2908

Mailing address

115 Juniper Dr
Arlington, TX 76018-1635
Phone (817) 480-5111

Other identifiers 4

IdentifierTypeStateIssuer
128751806MedicaidTX
8B7000OtherTXBCBS
930045360OtherTXRAILROAD
930045360OtherTXMEDICARE RAILROAD

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
I20070718000751 TX Practitioner - Family PracticePractitioner - Emergency Medicine 0244331411 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Feb 9, 2015 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Feb 9, 2015 Accepting new patients
St Joseph Emergency Physicians PLLC Emergency Medicine Current Accepting new patients
St Joseph Emergency Physicians PLLC Emergency Medicine CurrentSince Oct 1, 2015 Accepting new patients
Concord North Texas, PLLC Emergency Medicine CurrentSince Mar 1, 2016 Accepting new patients
Perc Emergency Physicians Emergency Medicine Past Accepting new patients
Citydoc Urgent Care Center 4, PLLC PastSince Sep 24, 2012 Accepting new patients
Campion Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Citydoc Urgent Care Center 3, PLLC PastSince Nov 1, 2012 Accepting new patients
Cedar Bluff Emergency Physicians Emergency Medicine Past Accepting new patients
NP Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Paul Phillips III, M.D., P.a. Past Accepting new patients
CD Urgent Care Center 5, PLLC Past Accepting new patients

Locations

1601 W 11th Pl
Big Spring, TX 79720
Phone (432) 263-1211

504 Lipscomb St
Bonham, TX 75418
Phone (903) 583-8585

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700

5900 Altamesa Blvd
Ft Worth, TX 76132
Phone (817) 433-9100

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1174509053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 JUNIPER DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181635",
            "telephone_number": "817-480-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152908",
            "telephone_number": "972-758-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAWROCKI",
        "first_name": "JOSEPH",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J5847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128751806",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8B7000",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "930045360",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "930045360",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.