Organization Active NPI

Dr Robert Stroud, P.a.

  • Urology Physician
  • Fort Worth, TX
National Provider Identifier
1649542168
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G5662 Issued in TX
Legal business name
DR ROBERT STROUD, P.A.
Practice address
1107 University Dr
Fort Worth, TX 76107-3012
Phone
(817) 335-0199
Fax
(817) 612-6966
NPI assigned
Jan 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Authorized official

Name
Dr. Robert Stroud, D.O.NPI 1801859376
Title
President
Phone
(817) 800-5495

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X G5662 TX Primary

Addresses

Primary practice location

1107 University Dr
Fort Worth, TX 76107-3012

Mailing address

1107 University Dr
Fort Worth, TX 76107-3012
Phone (817) 335-0199

Other practice location 1

920 S Kimball Ave Ste 140
Southlake, TX 76092-9034
Phone (817) 335-0199

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120312000842 TX Part B Supplier - Clinic/Group Practice 0446419394 Receives reassigned benefits from 3 practitioners
Practice locations: Fort Worth, 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
45D2045217Dr Robert Stroud PA1107 University Drive, Fort Worth, TX 76107Certificate of waiverAug 7, 2026

National Provider Directory

National Provider Directory

Locations

1107 University Dr
Fort Worth, TX 76107
Phone (817) 335-0199

1101 University Dr
Ft Worth, TX 76107
Phone (817) 338-8501

300 N Rufe Snow Dr
Ste A
Keller, TX 76248
Phone (972) 253-4210

731 E Southlake Blvd
Ste 130
Southlake, TX 76092
Phone (817) 335-0199

920 S Kimball Ave
Ste 140
Southlake, TX 76092
Phone (817) 335-0199

Interoperability endpoints

  • Direct secure messaging: keithdesonier@lonestaruro.medalliesdirect.net
  • Direct secure messaging: trangtrinh@lonestaruro.medalliesdirect.net
  • Direct secure messaging: edwinmorales@lonestaruro.medalliesdirect.net
  • Direct secure messaging: robertstroud@lonestaruro.medalliesdirect.net

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1649542168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 UNIVERSITY DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761073012",
            "telephone_number": "817-335-0199",
            "fax_number": "817-612-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 UNIVERSITY DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761073012",
            "telephone_number": "817-335-0199",
            "fax_number": "817-612-6966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 S Kimball Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760929034",
            "country_code": "US",
            "telephone_number": "817-335-0199",
            "fax_number": "817-612-6966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR ROBERT STROUD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "STROUD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-800-5495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "TX",
            "license": "G5662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

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