Active NPI
Frederick Mario Oriti, PA-C
- Physician Assistant
- Granbury, TX
National Provider Identifier
1215030499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA02360
- Practice address
- 1308 Paluxy Rd Ste 300
Granbury, TX 76048-5689 - Phone
- (817) 579-3978
- Fax
- (817) 579-3977
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA02360 | TX | Primary |
Addresses
Primary practice location
1308 Paluxy Rd Ste 300
Granbury, TX 76048-5689
Mailing address
1308 Paluxy Rd Ste 300
Granbury, TX 76048-5689
Phone (817) 579-3978
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | frederick.oriti.1@1293.direct.athenahealth.com |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.53 of 100
- Quality
- 79.07
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA02360 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook Children'S Physician Network | Current | Accepting new patients | |
| Cook Children'S Physician Network | Current | Accepting new patients | |
| My Health My Resources of Tarrant County | Past | Accepting new patients |
Locations
801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054
6316 Precinct Line Rd
Hurst, TX 76054
Phone (817) 605-2500
Organizations & group practices 6
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.
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- Family Medicine Physician
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- NPI 1225096472
-
- Psychiatry Physician
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- NPI 1952423782
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1083472062
-
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Fort Worth, TX
- NPI 1669442042
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Fort Worth, TX
- NPI 1376590422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1215030499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 PALUXY RD STE 300",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760485689",
"telephone_number": "817-579-3978",
"fax_number": "817-579-3977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 PALUXY RD STE 300",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760485689",
"telephone_number": "817-579-3978",
"fax_number": "817-579-3977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORITI",
"first_name": "FREDERICK",
"middle_name": "MARIO",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2020-09-14",
"certification_date": "2020-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA02360",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "frederick.oriti.1@1293.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "1308 Paluxy Rd Ste 300",
"city": "Granbury",
"state": "TX",
"country_code": "US",
"postal_code": "760485689",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Granbury, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.