Individual provider Active NPI

Andrew Lavear, PA-C

  • Neurology Physician
  • Fort Worth, TX
National Provider Identifier
1336643543
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
PA11964 Issued in TX
Practice address
4055 International PLZ Ste 660
Ft Worth, TX 76109-4874
Phone
(817) 592-8427
NPI assigned
Mar 21, 2018
Last updated
Feb 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X
Surgical Physician Assistant 363AS0400X
Neurology Physician 2084N0400X PA11964 TX Primary

Addresses

Primary practice location

4055 International PLZ Ste 660
Ft Worth, TX 76109-4874

Mailing address

4055 International PLZ Ste 660
Ft Worth, TX 76109-4874
Phone (817) 592-8427

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
I20180510001279 TX Practitioner - Physician Assistant 1153685599 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lavear Medical PAGroup PAC ID 1951778307, 2 clinicians

Practice addresses (Care Compare)

3912 Homestead CT
Granbury, TX 76049-6205

4055 International PLZ
Suite 660
Fort Worth, TX 76109-4874
Phone (817) 592-8427

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Jul 1, 2021 Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 1, 2021 Accepting new patients
Cowtown Headache Center and Neurodiagnostics, PLLC Neurology PastSince Feb 26, 2023 Accepting new patients

Locations

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

Interoperability endpoints

  • Direct secure messaging: alavear1740774@direct.texashealth.org
  • Direct secure messaging: andrew.lavear.1@25861.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25861/brand/1/csg/1/fhir/r4

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, 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": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1336643543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 INTERNATIONAL PLZ STE 660",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761094874",
            "telephone_number": "817-592-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 INTERNATIONAL PLZ STE 660",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761094874",
            "telephone_number": "817-592-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVEAR",
        "first_name": "ANDREW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-21",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "PA11964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.