Active NPI
Robert G Parham, MD
- Urology Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 66564
- Practice address
- 1101 6TH Ave Ste 110
Fort Worth, TX 76104-4929 - Phone
- (817) 912-8040
- Fax
- (817) 912-8049
- NPI assigned
- Jun 2, 2005
- Last updated
- Apr 12, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 66564 | TN | Primary |
| Urology Physician | 208800000X | J2251 | TX |
Addresses
Primary practice location
1101 6TH Ave Ste 110
Fort Worth, TX 76104-4929
Mailing address
1101 6TH Ave Ste 110
Fort Worth, TX 76104-4929
Phone (817) 912-8040
Other practice location 1
320 N Oak Ave
Cookeville, TN 38501-2440
Phone (931) 783-4103
Other practice location 2
4300 City Point Dr Ste 201
North Richland Hills, TX 76180-8338
Phone (817) 784-8268
Other practice location 3
1615 Hospital Pkwy Ste 204
Bedford, TX 76022-5936
Phone (817) 784-8268
Other practice location 4
811 W Interstate 20 Ste 114
Arlington, TX 76017-5871
Phone (817) 784-8268
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036346701 | Medicaid | TX | |
| Q076610 | Medicaid | TN | |
| 036346704 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Texas Medical School at San Antonio, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1101 6TH Ave
Suite 110
Fort Worth, TX 76104-4306
Phone (817) 912-8360
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18059 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Clinic of North Texas, PLLC | Urology | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Medical Clinic of North Texas PLLC | Current | Accepting new patients | |
| Medical Clinic of North Texas, PLLC | Urology | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Past | Accepting new patients |
Locations
809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133
811 W Interstate 20
Ste 114
Arlington, TX 76017
1615 Hospital Pkwy
Ste 204
Bedford, TX 76022
Phone (817) 684-5002
5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920
301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
1101 6th Ave
Ste 110
Fort Worth, TX 76104
Phone (817) 912-8040
900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000
4300 City Point Dr
Ste 201
North Richland Hills, TX 76180
Phone (817) 284-8222
4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- rparham1270886@direct.sw.org
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
-
dba USMD Physician Services
- Internal Medicine Physician
- Arlington, TX
- NPI 1033167234
Urology
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
dba One Medical with Baylor Scott & White Health
- Family Medicine Physician
- Plano, TX
- NPI 1124809512
-
- Radiation Oncology Clinic/Center
- Arlington, TX
- NPI 1184131625
-
dba USMD Physician Services
- Internal Medicine Physician
- Irving, TX
- NPI 1538117742
Urology
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White All Saints Medical Center - Fort Worth
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1669472387
-
dba Baylor Surgical Hospital at Fort Worth Outpatient Center
- Special Hospital
- Fort Worth, TX
- NPI 1568883775
-
dba Baylor Scott & White Surgical Hospital - Fort Worth
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1871599183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712880000000",
"number": "1437151487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 6TH AVE STE 110",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044929",
"telephone_number": "817-912-8040",
"fax_number": "817-912-8049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 6TH AVE STE 110",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044929",
"telephone_number": "817-912-8040",
"fax_number": "817-912-8049"
}
],
"practiceLocations": [
{
"address_1": "320 N Oak Ave",
"address_purpose": "LOCATION",
"city": "Cookeville",
"state": "TN",
"postal_code": "385012440",
"country_code": "US",
"telephone_number": "931-783-4103",
"fax_number": "931-783-4195",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4300 City Point Dr Ste 201",
"address_purpose": "LOCATION",
"city": "North Richland Hills",
"state": "TX",
"postal_code": "761808338",
"country_code": "US",
"telephone_number": "817-784-8268",
"fax_number": "817-590-2285",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1615 Hospital Pkwy Ste 204",
"address_purpose": "LOCATION",
"city": "Bedford",
"state": "TX",
"postal_code": "760225936",
"country_code": "US",
"telephone_number": "817-784-8268",
"fax_number": "817-283-8003",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "811 W Interstate 20 Ste 114",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "TX",
"postal_code": "760175871",
"country_code": "US",
"telephone_number": "817-784-8268",
"fax_number": "817-804-8178",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARHAM",
"first_name": "ROBERT",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-02",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TN",
"license": "66564",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "J2251",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036346701",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q076610",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036346704",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.