NPIMap

Individual provider Active NPI

Robert Martin, PA-C

  • Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1205233020
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09415 Issued in TX
Practice address
6930 Harris Pkwy Ste 130
Fort Worth, TX 76132-4272
Phone
(817) 632-0020
Fax
(817) 632-0022
NPI assigned
Nov 21, 2014
Last updated
May 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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 PA09415 TX Primary

Addresses

Primary practice location

6930 Harris Pkwy Ste 130
Fort Worth, TX 76132-4272

Mailing address

6930 Harris Pkwy Ste 130
Fort Worth, TX 76132-4272
Phone (817) 632-0020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150318000506 TX Practitioner - Physician Assistant 0749507481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Orthopedics of Fort Worth, PAGroup PAC ID 8224285176, 2 clinicians

Practice addresses (Care Compare)

6930 Harris Pkwy
Suite 130
Fort Worth, TX 76132-4272
Phone 81763200202008

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
63.97 of 100Reported as group
Quality
47.57
Promoting interoperability
100
Improvement activities
40
Cost
32.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA09415TXMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: rmartin@ortho.directmessaging.net

Organizations & group practices 1

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1205233020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6930 HARRIS PKWY STE 130",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324272",
            "telephone_number": "817-632-0020",
            "fax_number": "817-632-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 HARRIS PKWY STE 130",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324272",
            "telephone_number": "817-632-0020",
            "fax_number": "817-632-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-21",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.