NPIMap

Organization Active NPI

Rio Orthopedics and Sports Medicine, PLLC

  • Orthopaedic Surgery Physician
  • N Richlnd HLS, TX
National Provider Identifier
1346869401
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
RIO ORTHOPEDICS AND SPORTS MEDICINE, PLLC
Practice address
8210 Mid Cities Blvd
Suite 120
N Richlnd HLS, TX 76180-4701
Phone
(817) 969-6030
Fax
(817) 969-6039
NPI assigned
Apr 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Authorized official

Name
Nicholas Dominic Iagulli, MDNPI 1518123702
Title
Owner
Phone
(817) 969-6030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

8210 Mid Cities Blvd
Suite 120
N Richlnd HLS, TX 76180-4701

Mailing address

8210 Mid Cities Blvd
Suite 120
N Richlnd HLS, TX 76180-4701
Phone (817) 969-6030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200504002039 TX Part B Supplier - Clinic/Group Practice 6800227067 Receives reassigned benefits from 3 practitioners
Practice locations: North Richland Hills, TX

National Provider Directory

National Provider Directory

Locations

809 W Harwood Rd
Hurst, TX 76054
Phone (817) 479-1500

4300 City Point Dr
Ste 100
North Richlnd Hls, TX 76180
Phone (817) 548-4000

Interoperability endpoints

  • Direct secure messaging: nicholasiagulli@rosmpllc.allscriptsdirect.net
  • Direct secure messaging: nicolelal@rosmpllc.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1346869401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 MID CITIES BLVD",
            "address_2": "SUITE 120",
            "city": "N RICHLND HLS",
            "state": "TX",
            "postal_code": "761804701",
            "telephone_number": "817-969-6030",
            "fax_number": "817-969-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 MID CITIES BLVD",
            "address_2": "SUITE 120",
            "city": "N RICHLND HLS",
            "state": "TX",
            "postal_code": "761804701",
            "telephone_number": "817-969-6030",
            "fax_number": "817-969-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO ORTHOPEDICS AND SPORTS MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-09",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "IAGULLI",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "DOMINIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-969-6030",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Richlnd HLS, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.