Individual provider Active NPI

Veronica Salaices-Fraire

  • Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1215428511
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12095 Issued in TX
Practice address
229 NE 28TH St
Fort Worth, TX 76164
Phone
(817) 566-0478
NPI assigned
May 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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 PA12095 TX Primary

Addresses

Primary practice location

229 NE 28TH St
Fort Worth, TX 76164

Mailing address

229 NE 28TH St
Fort Worth, TX 76164-7205
Phone (706) 618-3363

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
I20181210001524 TX Practitioner - Physician Assistant 0749261543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Topcare Medical Group IncGroup PAC ID 8426239153, 71 clinicians

Practice addresses (Care Compare)

229 NE 28TH St
Clinicas Mi Doctor
Fort Worth, TX 76164-7205
Phone (817) 566-0483

410 E Pioneer Pkwy
300 Clinicas Mi Doctor
Grand Prairie, TX 75051-4984
Phone (469) 733-1890

941 E Park Row Dr
Clinicas Mi Doctor
Arlington, TX 76010-4508
Phone (817) 522-0221

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA12095TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Topcare Medical PA CurrentSince Apr 2, 2012 Accepting new patients

Locations

229 NE 28th St
Ft Worth, TX 76164
Phone (817) 566-0478

410 E Pioneer Pkwy
Ste 300
Grand Prairie, TX 75051
Phone (469) 733-1890

5230 Aldine Mail Rte
Houston, TX 77039
Phone (281) 598-3300

222 Las Colinas Blvd W
Ste 2000
Irving, TX 75039

1120 E Parker Rd
Ste 195
Plano, TX 75074
Phone (469) 298-1216

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.

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1215428511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 NE 28TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761647205",
            "telephone_number": "706-618-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 NE 28TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76164",
            "telephone_number": "817-566-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAICES-FRAIRE",
        "first_name": "VERONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.