Individual provider Active NPI

Robert G Parham, MD

  • Urology Physician
  • Fort Worth, TX
National Provider Identifier
1437151487
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
66564 Issued in TN
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036346701MedicaidTX
Q076610MedicaidTN
036346704MedicaidTX

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
I20051220000444 TX Practitioner - Urology 7618924994 Reassigns benefits to 2 organizations

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
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

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

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18059TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas, PLLC Urology Current Accepting new patients
Healthtexas Provider Network CurrentSince Apr 13, 2025 Accepting new patients
Healthtexas Provider Network CurrentSince Apr 13, 2025 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Aug 22, 2018 Accepting new patients
Medical Clinic of North Texas, PLLC Urology CurrentSince Aug 22, 2018 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.