Individual provider Active NPI

Pablo Perez, PA-C

  • Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1497456669
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4301 Donnelly Ave
Fort Worth, TX 76107-5403
Phone
(405) 501-7782
NPI assigned
Mar 15, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TX Primary

Addresses

Primary practice location

4301 Donnelly Ave
Fort Worth, TX 76107-5403

Mailing address

4301 Donnelly Ave
Fort Worth, TX 76107-5403
Phone (405) 501-7782

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230714003671 TX Practitioner - Physician Assistant 8729448212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthotx PLLCGroup PAC ID 9739161704, 83 clinicians

Practice addresses (Care Compare)

800 Orthopedic Way
Dba Arlington Ortho
Arlington, TX 76015-1629
Phone (817) 375-5200

Hospital & facility affiliations

  • Baylor Scott and White Orthopedic and Spine Hospi Hospital, Arlington, TX, CCN 670067

Merit-based Incentive Payment System (MIPS)

Final score
89.4 of 100Reported as group
Quality
77.91
Promoting interoperability
100
Improvement activities
40
Cost
86.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthotx, PLLC CurrentSince Jul 1, 2023 Accepting new patients
Orthotx, PLLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

701 Highlander Blvd
#370
Arlington, TX 76015

800 Orthopedic Way
Arlington, TX 76015
Phone (817) 375-5375

2423 W Airport Fwy
Irving, TX 75062
Phone (817) 375-5312

1441 S Midlothian Pkwy
Ste 130
Midlothian, TX 76065

Interoperability endpoints

  • Direct secure messaging: pablo.perez.1@15749.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1497456669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 DONNELLY AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075403",
            "telephone_number": "405-501-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 DONNELLY AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075403",
            "telephone_number": "405-501-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "PABLO",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.