Individual provider Active NPI

Robert J. Rogers, M.D.

  • Allergy & Immunology Physician
  • Fort Worth, TX
National Provider Identifier
1619970969
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
F4444 Issued in TX
Practice address
4200 S Hulen St Ste 230
Fort Worth, TX 76109-4924
Phone
(817) 315-2550
Fax
(817) 732-4660
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X F4444 TX
Pediatric Allergy/Immunology Physician 2080P0201X F4444 TX
Allergy & Immunology Physician 207K00000X F4444 TX Primary

Addresses

Primary practice location

4200 S Hulen St Ste 230
Fort Worth, TX 76109-4924

Mailing address

4200 S Hulen St Ste 230
Fort Worth, TX 76109-4924
Phone (817) 315-2550

Other identifiers 1

IdentifierTypeStateIssuer
033448401MedicaidTX

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
I20051208000454 TX Practitioner - Allergy/Immunology 9032130869 Reassigns benefits to 1 organization
Practice locations: Fort Worth, TX

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Texas Southwestern Medical School at Dallas, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4200 S Hulen St
Suite 230
Fort Worth, TX 76109-4924
Phone (817) 315-2550

5929 Lovell Ave
Fort Worth, TX 76107-5029
Phone (817) 315-2550

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F4444TXMDPediatric Allergy/Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millard L Tierce IV DO Allergy & Immunology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: robert.rogers@5011032375300.direct.elationemr.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.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1619970969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 S HULEN ST STE 230",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094924",
            "telephone_number": "817-315-2550",
            "fax_number": "817-732-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 S HULEN ST STE 230",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094924",
            "telephone_number": "817-315-2550",
            "fax_number": "817-732-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "ROBERT",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TX",
            "license": "F4444",
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "TX",
            "license": "F4444",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "F4444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033448401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.