Individual provider Active NPI

Dorcas Gonzalez Andujar, M.D.

  • Family Medicine Physician
  • Grapevine, TX
National Provider Identifier
1598212441
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
V3006 Issued in TX
Practice address
1600 W Northwest Hwy Ste 100
Grapevine, TX 76051-8131
Phone
(817) 912-0442
NPI assigned
Sep 8, 2016
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X V3006 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X 14,240-I PR

Addresses

Primary practice location

1600 W Northwest Hwy Ste 100
Grapevine, TX 76051-8131

Mailing address

PO Box 1564
Manati, PR 00674-1564
Phone (787) 365-5600

Other practice location 1

Carr 685 km 3.2
Manati, PR 00674
Phone (787) 365-5600

Other identifiers 1

IdentifierTypeStateIssuer
14,240-IOtherPRPUERTO RICO BOARD OF LICENSING AND MEDICAL DISCIPLINES

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
I20240822002060 TX Practitioner - Family Practice 1052850013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
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)

1600 W Northwest Hwy
Suite 100
Grapevine, TX 76051-8131
Phone (817) 912-0442

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V3006TXMDFamily Medicine Physician
14,240-IPRMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Sep 1, 2024 Accepting new patients
Texas Health Physicians Group Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Texas Health Physicians Group Current Accepting new patients

Locations

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

1600 W Northwest Hwy
Ste 100
Grapevine, TX 76051
Phone (817) 424-4091

Interoperability endpoints

  • Direct secure messaging: dgonzalezandujar2558745@direct.texashealth.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1598212441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1564",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006741564",
            "telephone_number": "787-365-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W NORTHWEST HWY STE 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518131",
            "telephone_number": "817-912-0442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr 685 km 3.2",
            "address_purpose": "LOCATION",
            "city": "Manati",
            "state": "PR",
            "postal_code": "00674",
            "country_code": "US",
            "telephone_number": "787-365-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ ANDUJAR",
        "first_name": "DORCAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V3006",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "14,240-I",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUERTO RICO BOARD OF LICENSING AND MEDICAL DISCIPLINES",
            "identifier": "14,240-I",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.