Active NPI
Robert Edward Roybal, M.D.,
- Sports Medicine (Orthopaedic Surgery) Physician
- Euless, TX
National Provider Identifier
1669531422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- E0598
- Practice address
- 493 Westpark Way
Euless, TX 76040-3957 - Phone
- (817) 283-5115
- Fax
- (817) 267-9519
- NPI assigned
- Dec 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | E0598 | TX | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | E0598 | TX | Primary |
Addresses
Primary practice location
493 Westpark Way
Euless, TX 76040-3957
Mailing address
493 Westpark Way
Euless, TX 76040-3957
Phone (817) 283-5115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0353591-01 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 786 Medical PLLC | Current | Accepting new patients |
Locations
493 Westpark Way
Euless, TX 76040
Phone (817) 283-5115
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Euless, TX
- NPI 1417128273
-
- Internal Medicine Physician
- Euless, TX
- NPI 1841436110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216771200000",
"number": "1669531422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "493 WESTPARK WAY",
"city": "EULESS",
"state": "TX",
"postal_code": "760403957",
"telephone_number": "817-283-5115",
"fax_number": "817-267-9519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "493 WESTPARK WAY",
"city": "EULESS",
"state": "TX",
"postal_code": "760403957",
"telephone_number": "817-283-5115",
"fax_number": "817-267-9519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROYBAL",
"first_name": "ROBERT",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-07",
"last_updated": "2008-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "E0598",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "TX",
"license": "E0598",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0353591-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Euless, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.