NPIMap

Organization Active NPI

United Regional Physician Group

  • Family Medicine Physician
  • Wichita Falls, TX
National Provider Identifier
1407890775
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UNITED REGIONAL PHYSICIAN GROUP
Practice address
4327 Barnett Rd
Wichita Falls, TX 76310-2303
Phone
(940) 764-5200
Fax
(940) 764-5201
NPI assigned
Jun 16, 2006
Last updated
Jul 21, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
UNITED REGIONAL HEALTHCARE SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Authorized official

Name
Mr. Johnny Roberts
Title
Practice Administrator
Phone
(940) 764-3053

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU
Neurological Surgery Physician 207T00000X NU
Orthopaedic Surgery Physician 207X00000X NU
Surgery Physician 208600000X NU

Addresses

Primary practice location

4327 Barnett Rd
Wichita Falls, TX 76310-2303

Mailing address

PO Box 9261
Wichita Falls, TX 76308-9261
Phone (940) 764-7230

Other identifiers 1

IdentifierTypeStateIssuer
1760811-01MedicaidTX

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other United Regional Health Care System Inc
Direct Messaging Address unitedregional@unitedregional.medalliesdirect.net Direct
FHIR URL https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/ Other United Regional Health Care System Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040416001015 TX Part B Supplier - Clinic/Group Practice 2163417478 Receives reassigned benefits from 117 practitioners
Practice locations: Bowie, TX; Wichita Falls, TX; Nocona, TX; Jacksboro, TX; Burkburnett, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2010403United Regional Physician Group4327 Barnett Road, Wichita Falls, TX 76310Provider-performed microscopyJul 26, 2028

National Provider Directory

National Provider Directory
Part of
United Regional Health Care

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

208 S Red River Expy
Ste D
Burkburnett, TX 76354
Phone (940) 569-2233

1518 9th St
Wichita Falls, TX 76301
Phone (940) 764-5470

1620 8th St
Wichita Falls, TX 76301
Phone (940) 764-5470

5400 Kell Blvd
Wichita Falls, TX 76310
Phone (940) 689-2632

912 Burnett St
Wichita Falls, TX 76301
Phone (940) 285-5052

Interoperability endpoints

  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/URMYCHART/api/FHIR/R4
  • Direct secure messaging: unitedregional@unitedregional.medalliesdirect.net

Practitioners & affiliated clinicians

Practitioners 130

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 130

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1407890775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9261",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763089261",
            "telephone_number": "940-764-7230",
            "fax_number": "940-764-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4327 BARNETT RD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763102303",
            "telephone_number": "940-764-5200",
            "fax_number": "940-764-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED REGIONAL PHYSICIAN GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED REGIONAL HEALTHCARE SYSTEM",
        "enumeration_date": "2006-06-16",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "940-764-3053",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760811-01",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "endpointDescription": "FHIR DSTU2",
            "affiliationName": "United Regional Health Care System Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR DSTU2",
            "address_1": "1600 11th St",
            "city": "Wichita Falls",
            "state": "TX",
            "country_code": "US",
            "postal_code": "763014300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "unitedregional@unitedregional.medalliesdirect.net",
            "affiliation": "N",
            "endpointDescription": "United Regional Healthcare System Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Secure Messaging Address",
            "address_1": "1600 11th St",
            "city": "Wichita Falls",
            "state": "TX",
            "country_code": "US",
            "postal_code": "763014300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/",
            "affiliation": "Y",
            "endpointDescription": "FHIR R4 Endpoint",
            "affiliationName": "United Regional Health Care System Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR R4 Endpoint",
            "address_1": "1600 11th St",
            "city": "Wichita Falls",
            "state": "TX",
            "country_code": "US",
            "postal_code": "763014300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.