NPIMap

Individual provider Active NPI

Robert N Stark Jr., MD

  • Family Medicine Physician
  • Rockwall, TX
National Provider Identifier
1427035484
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M0283 Issued in TX
Practice address
2701 Sunset Ridge Dr Ste 200
Rockwall, TX 75032-0007
Phone
(972) 772-5450
Fax
(972) 772-5452
NPI assigned
Dec 29, 2005
Last updated
May 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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 M0283 TX Primary

Addresses

Primary practice location

2701 Sunset Ridge Dr Ste 200
Rockwall, TX 75032-0007

Mailing address

2701 Sunset Ridge Dr Ste 200
Rockwall, TX 75032-0007
Phone (972) 772-5450

Other practice location 1

2156 North Lake Forest dr
Mckinney, TX 75071
Phone (469) 656-4993

Other identifiers 3

IdentifierTypeStateIssuer
174027601MedicaidTX
81312SOtherTXBCBSTX
174027603MedicaidTX

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
I20050218000702 TX Practitioner - Family Practice 6305898297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

2701 Sunset Ridge Dr
Suite 200
Rockwall, TX 75032-0007
Phone (972) 772-5450

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions30
Skin biopsy14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M0283TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group Family Medicine CurrentSince Aug 1, 2013 Accepting new patients
Texas Health Physicians Group CurrentSince Aug 1, 2013 Accepting new patients
McLennan County Medical Education and Research Foundation Family Medicine Past Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

2701 Sunset Ridge Dr
Ste 200
Rockwall, TX 75032
Phone (972) 772-5450

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: rstark362310@direct.texashealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1427035484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 SUNSET RIDGE DR STE 200",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750320007",
            "telephone_number": "972-772-5450",
            "fax_number": "972-772-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 SUNSET RIDGE DR STE 200",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750320007",
            "telephone_number": "972-772-5450",
            "fax_number": "972-772-5452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2156 North Lake Forest dr",
            "address_purpose": "LOCATION",
            "city": "Mckinney",
            "state": "TX",
            "postal_code": "75071",
            "country_code": "US",
            "telephone_number": "469-656-4993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARK",
        "first_name": "ROBERT",
        "middle_name": "N",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2025-05-07",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M0283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174027601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "81312S",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174027603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.