Active NPI
Robert S. Pollard, M.D.
- Surgery Physician
- Grapevine, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- F9967
- Practice address
- 2050 Hall Johnson Rd Ste 200
Grapevine, TX 76051-8766 - Phone
- (817) 267-2678
- Fax
- (817) 354-0854
- NPI assigned
- May 24, 2006
- Last updated
- Jul 22, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | F9967 | TX | Primary |
| Vascular Surgery Physician | 2086S0129X | F9967 | TX |
Addresses
Primary practice location
2050 Hall Johnson Rd Ste 200
Grapevine, TX 76051-8766
Mailing address
2050 Hall Johnson Rd Ste 200
Grapevine, TX 76051-8766
Phone (817) 267-2678
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100830000383 | TX | Practitioner - General Surgery | 4587788468 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F9967 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grapevine Surgicare Partners LTD | Past | Accepting new patients |
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Methodist Richardson Medical Center | Hospital | Corporate Director | Jan 3, 2022 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Methodist Richardson Medical Center Psychiatric Hospital
- Psychiatric Hospital Unit
- Richardson, TX
- NPI 1811142359
Corporate Director
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.
-
dba Baylor Scott & White Surgicare - Southlake
- Ambulatory Surgical Clinic/Center
- Southlake, TX
- NPI 1295702942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658448000000",
"number": "1235184433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 HALL JOHNSON RD STE 200",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518766",
"telephone_number": "817-267-2678",
"fax_number": "817-354-0854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 HALL JOHNSON RD STE 200",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518766",
"telephone_number": "817-267-2678",
"fax_number": "817-354-0854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLARD",
"first_name": "ROBERT",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2022-07-22",
"certification_date": "2022-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "F9967",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "TX",
"license": "F9967",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.