NPIMap

Individual provider Active NPI

Robin L. Worsham, MD

  • Family Medicine Physician
  • Irving, TX
National Provider Identifier
1356430565
Registry record updated Jul 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H3617 Issued in TX
Practice address
4545 Fuller Dr
Suite 340
Irving, TX 75038-6530
Phone
(972) 870-5511
Fax
(972) 870-5512
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H3617 TX Primary

Addresses

Primary practice location

4545 Fuller Dr
Suite 340
Irving, TX 75038-6530

Mailing address

550 E Ann Arbor Ave
Dallas, TX 75216-6718
Phone (214) 376-1701

Other identifiers 3

IdentifierTypeStateIssuer
8U3448OtherTXBCBS OF TEXAS
123032805MedicaidTX
P00279109OtherTXRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060118000226 TX Practitioner - Family Practice 6901820943 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choctaw Nation of OklahomaGroup PAC ID 1759294838, 271 clinicians
Keweenaw Bay Indian CommunityGroup PAC ID 7315070471, 11 clinicians

Practice addresses (Care Compare)

1 Choctaw Way
Talihina, OK 74571-2022
Phone (539) 316-6391

102 S Superior Ave
Baraga, MI 49908-9673
Phone (906) 353-6623

Hospital & facility affiliations

  • Elara Caring XXV Home health agency, Tulsa, OK, CCN 377667
  • Choctaw Nation Health Services Authority Hospital, Talihina, OK, CCN 370172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Choctaw Nation of Oklahoma Current Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Oct 1, 2024 Accepting new patients
Vpa of Texas PLLC CurrentSince Oct 20, 2010 Accepting new patients
Vpa of Texas PLLC Family Medicine Current Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Jun 23, 2025 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Jun 23, 2025 Accepting new patients
Iah of Texas, PLLC Family Medicine CurrentSince Jan 1, 2015 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation Current Accepting new patients
Vpa of Texas PLLC Family Medicine CurrentSince Oct 20, 2010 Accepting new patients
Premier Provider Health PA Past Accepting new patients
CLH Physicians PA Family Medicine Past Accepting new patients
Choctaw Nation of Oklahoma Past Accepting new patients
Premier Provider Health PA Past Accepting new patients

Locations

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636

3500 Oak Lawn Ave
Ste 400
Dallas, TX 75219
Phone (214) 360-0077

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

4545 Fuller Dr
Ste 340
Irving, TX 75038
Phone (972) 870-5511

5414 Fredericksburg Rd
Ste 100A
San Antonio, TX 78229
Phone (210) 468-0800

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311811200000",
    "number": "1356430565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E ANN ARBOR AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752166718",
            "telephone_number": "214-376-1701",
            "fax_number": "972-217-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 FULLER DR",
            "address_2": "SUITE 340",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386530",
            "telephone_number": "972-870-5511",
            "fax_number": "972-870-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORSHAM",
        "first_name": "ROBIN",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2011-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H3617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "8U3448",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123032805",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00279109",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.