Individual provider Active NPI

Cesar P Duclair, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Fort Worth, TX
National Provider Identifier
1386695906
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
N2064 Issued in TX
Practice address
2601 Scott Ave Ste 102
Fort Worth, TX 76103-2301
Phone
(817) 377-4011
Fax
(817) 377-9269
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X N2064 TX Primary

Addresses

Primary practice location

2601 Scott Ave Ste 102
Fort Worth, TX 76103-2301

Mailing address

2601 Scott Ave Ste 102
Fort Worth, TX 76103-2301
Phone (817) 377-4011

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address crogan@advantagehcs.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090429000146 TX Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 0547296352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Howard University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

214 W Colorado Blvd
Dallas, TX 75208-2326
Phone (214) 941-4550

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N2064TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Medical Clinic Past Accepting new patients
Denton Texas Health Management, PLLC Past Accepting new patients
Capstone Pain Management PLLC Past Accepting new patients

Organizations & group practices 4

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1386695906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 SCOTT AVE STE 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761032301",
            "telephone_number": "817-377-4011",
            "fax_number": "817-377-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 SCOTT AVE STE 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761032301",
            "telephone_number": "817-377-4011",
            "fax_number": "817-377-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCLAIR",
        "first_name": "CESAR",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "N2064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crogan@advantagehcs.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2601 Scott Ave Ste 102",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761032301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.