Individual provider Active NPI

Audrey L Rogers, MD

  • Pediatrics Physician
  • Aledo, TX
National Provider Identifier
1669553509
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
H2735 Issued in TX
Practice address
13340 Highland Hills Dr Ste 111
Aledo, TX 76008-2000
Phone
(682) 303-3000
Fax
(682) 303-3025
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X H2735 TX Primary

Addresses

Primary practice location

13340 Highland Hills Dr Ste 111
Aledo, TX 76008-2000

Mailing address

PO Box 99213
Fort Worth, TX 76199-0213
Phone (682) 885-1860

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address arogers16662@CookChildrens.direct-ci.com
Direct Messaging Address arogers16662@CookChildrens.direct-ci.com

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
I20051121000254 TX Practitioner - Pediatric Medicine 3072532910 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H2735TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Children's Physician Network Pediatrics Current Accepting new patients
Cook Children's Physician Network Pediatrics CurrentSince Jun 15, 2011 Accepting new patients
Cook Children's Physician Network Pediatrics CurrentSince Jun 15, 2011 Accepting new patients

Locations

13340 Highland Hills Dr
Ste 111
Aledo, TX 76008
Phone (682) 303-3000

3200 Riverfront Dr
Ste 103
Ft Worth, TX 76107
Phone (817) 336-3800

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

6316 Precinct Line Rd
Hurst, TX 76054
Phone (817) 605-2500

136 El Chico Trl
Ste 102
Willow Park, TX 76087
Phone (817) 441-5412

Interoperability endpoints

  • Direct secure messaging: arogers16662@cookchildrens.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1669553509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99213",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761990213",
            "telephone_number": "682-885-1860",
            "fax_number": "682-885-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13340 HIGHLAND HILLS DR STE 111",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760082000",
            "telephone_number": "682-303-3000",
            "fax_number": "682-303-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "AUDREY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "H2735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arogers16662@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "3200 Riverfront Dr",
            "address_2": "STE 103",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761076570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arogers16662@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "13340 Highland Hills Dr Ste 111",
            "city": "Aledo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760082000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aledo, TX

Sources for this page

Verify at the official NPI Registry.