Individual provider Active NPI

Rebecca Perthel, PA-C

  • Physician Assistant
  • Euless, TX
National Provider Identifier
1215398623
Registry record updated May 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
200 Westpark Way
Euless, TX 76040-3963
Phone
(817) 488-8998
NPI assigned
Mar 11, 2016
Last updated
May 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2022

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 TX Primary

Addresses

Primary practice location

200 Westpark Way
Euless, TX 76040-3963

Mailing address

200 Westpark Way
Euless, TX 76040-3963
Phone (817) 488-8998

Other practice location 1

3801 William D Tate Ave # 800A
Grapevine, TX 76051-8755
Phone (817) 488-8998

Other practice location 2

2040 Babcock Rd Ste 301
San Antonio, TX 78229-4428
Phone (210) 858-9980

Other practice location 3

2040 Babcock Rd Ste 301
San Antonio, TX 78229-4428
Phone (210) 858-9980

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170914000881 TX Practitioner - Physician Assistant 4789958786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Emory University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seema Kazi MD PAGroup PAC ID 5193040772, 22 clinicians

Practice addresses (Care Compare)

200 Westpark Way
Euless, TX 76040-3963
Phone (817) 488-8998

Merit-based Incentive Payment System (MIPS)

Final score
81.48 of 100Reported as group
Quality
85.37
Promoting interoperability
88
Improvement activities
40
Cost
62.89

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Focus and Balance, PLLC PastSince Sep 11, 2022 Accepting new patients
Smart Neuro Health & Wellness Professionals Texas PA PastSince Oct 4, 2021 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652572800000",
    "number": "1215398623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WESTPARK WAY",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403963",
            "telephone_number": "817-488-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WESTPARK WAY",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403963",
            "telephone_number": "817-488-8998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 William D Tate Ave # 800A",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760518755",
            "country_code": "US",
            "telephone_number": "817-488-8998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2040 Babcock Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294428",
            "country_code": "US",
            "telephone_number": "210-858-9980",
            "fax_number": "210-858-9990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2040 Babcock Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294428",
            "country_code": "US",
            "telephone_number": "210-858-9980",
            "fax_number": "210-858-9990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERTHEL",
        "first_name": "REBECCA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-11",
        "last_updated": "2022-05-15",
        "certification_date": "2022-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euless, TX

Sources for this page

Verify at the official NPI Registry.