Active NPI
Rachael Kendra Dabelic, M.D.
- Family Medicine Physician
- Lake Worth, TX
National Provider Identifier
1194760074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M1423
- Practice address
- 3914 Telephone Rd
Lake Worth, TX 76135-2908 - Phone
- (817) 238-0109
- Fax
- (817) 238-0647
- NPI assigned
- Jun 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M1423 | TX | Primary |
Addresses
Primary practice location
3914 Telephone Rd
Lake Worth, TX 76135-2908
Mailing address
3914 Telephone Rd
Lake Worth, TX 76135-2908
Phone (817) 238-0109
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 176578601 | Medicaid | TX | |
| 8U6830 | Other | TX | BCBS |
| 176578603 | Medicaid | TX |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical School at Houston, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3914 Telephone Rd
Lake Worth, TX 76135-2908
Phone (817) 238-0109
Hospital & facility affiliations
- Healing Hands Healthcare LLC
- Texas Health Harris Methodist Hospital Azle
- Texas Health Harris Methodist Hospital Southwest F
- Medical City Alliance
- Texas Health Harris Methodist Fort Worth
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M1423 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Clinic of North Texas PLLC | Current | Accepting new patients | |
| Medical Clinic of North Texas, PLLC | Family Medicine | Current | Accepting new patients |
Locations
809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133
900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000
3914 Telephone Rd
Lake Worth, TX 76135
Phone (817) 238-0109
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- rachael.dabelic@wellmed.eclinicaldirectplus.com
Organizations & group practices 2
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
- Arlington, TX
- NPI 1033167234
Family Medicine
-
- Radiation Oncology Clinic/Center
- Arlington, TX
- NPI 1184131625
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Wichita Falls, TX
- NPI 1457722449
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1871911016
-
- General Acute Care Hospital
- Azle, TX
- NPI 1508899204
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1417980202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1194760074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3914 TELEPHONE RD",
"city": "LAKE WORTH",
"state": "TX",
"postal_code": "761352908",
"telephone_number": "817-238-0109",
"fax_number": "817-238-0647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3914 TELEPHONE RD",
"city": "LAKE WORTH",
"state": "TX",
"postal_code": "761352908",
"telephone_number": "817-238-0109",
"fax_number": "817-238-0647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DABELIC",
"first_name": "RACHAEL",
"middle_name": "KENDRA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-17",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "M1423",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "176578601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8U6830",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "176578603",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.