NPIMap

Organization Active NPI

Care United Medical Centers of America, LLP

  • Family Medicine Physician
  • Forney, TX
National Provider Identifier
1457542680
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CARE UNITED MEDICAL CENTERS OF AMERICA, LLP
Practice address
375 N FM 548
Suite 100
Forney, TX 75126-6963
Phone
(972) 564-0044
Fax
(972) 564-0054
NPI assigned
Aug 5, 2007
Organization subpart
Yes
Parent organization
CARE UNITED MEDICAL CENTERS OF AMERICA,As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Glenda Robison
Title
Manager
Phone
(972) 564-0044

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

375 N FM 548
Suite 100
Forney, TX 75126-6963

Mailing address

375 N FM 548
Suite 100
Forney, TX 75126-6963
Phone (972) 564-0044

Other identifiers 1

IdentifierTypeStateIssuer
0008PVOtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • Care United Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080228000192 TX Part B Supplier - Clinic/Group Practice 5496839508 Receives reassigned benefits from 16 practitioners
Practice locations: Forney, 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
45D1071502Care United Medical Center375 N FM 548 Suite 100, Forney, TX 75126Certificate of waiverFeb 22, 2027

National Provider Directory

National Provider Directory
Part of
Care United Express

Locations

375 FM 548
Ste 100
Forney, TX 75126
Phone (972) 564-0044

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1457542680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 N FM 548",
            "address_2": "SUITE 100",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751266963",
            "telephone_number": "972-564-0044",
            "fax_number": "972-564-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N FM 548",
            "address_2": "SUITE 100",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751266963",
            "telephone_number": "972-564-0044",
            "fax_number": "972-564-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE UNITED MEDICAL CENTERS OF AMERICA, LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARE UNITED MEDICAL CENTERS OF AMERICA,",
        "enumeration_date": "2007-08-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROBISON",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-564-0044"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0008PV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care United Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.