Individual provider Active NPI

Richard Dane Robinson, MD

  • Family Medicine Physician
  • Ft Worth, TX
National Provider Identifier
1174566525
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H6552 Issued in TX
Practice address
3808 Harley Ave
Ft Worth, TX 76107-4082
Phone
(979) 571-1660
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X H6552 TX
Family Medicine Physician 207Q00000X H6552 TX Primary

Addresses

Primary practice location

3808 Harley Ave
Ft Worth, TX 76107-4082

Mailing address

3808 Harley Ave
Ft Worth, TX 76107-4082
Phone (979) 571-1660

Other identifiers 3

IdentifierTypeStateIssuer
176951501MedicaidTX
176951505MedicaidTX
8BR220OtherTXBCBS

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
I20051109000154 TX Practitioner - Family PracticePractitioner - Emergency Medicine 6204854136 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H6552TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texarkana Emergency Physicians PLLC Emergency Medicine CurrentSince Dec 12, 2011 Accepting new patients
Texas Medicine Resources, LLP Emergency Medicine CurrentSince Jun 15, 2013 Accepting new patients
Navarro Emergency Physicians PLLC Emergency Medicine CurrentSince Oct 20, 2012 Accepting new patients
Odessa Physician Associates, PLLC Emergency Medicine CurrentSince Nov 19, 2012 Accepting new patients
Paul Phillips III, M.D., P.a. Past Accepting new patients
Family Practice Foundation of the Brazos Valley Family Medicine Past Accepting new patients
Reclaim Physicians Medical Group Inc Family Medicine PastSince Dec 18, 2016 Accepting new patients

Locations

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

108 Denver Trl
Azle, TX 76020
Phone (817) 444-8600

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929

411 N Belknap St
Stephenville, TX 76401
Phone (254) 965-1500

1000 Pine St
Texarkana, TX 75501
Phone (903) 798-7365

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1174566525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 HARLEY AVE",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761074082",
            "telephone_number": "979-571-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 HARLEY AVE",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761074082",
            "telephone_number": "979-571-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "RICHARD",
        "middle_name": "DANE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "H6552",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H6552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176951501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176951505",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8BR220",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Worth, TX

Sources for this page

Verify at the official NPI Registry.