Organization Active NPI

Comprehensive Orthopaedics & Rehabilitation, P.a.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Richardson, TX
National Provider Identifier
1669654398
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
L2467 Issued in TX
Legal business name
COMPREHENSIVE ORTHOPAEDICS & REHABILITATION, P.A.
Practice address
1120 W Campbell Rd
Suite 109
Richardson, TX 75080-2976
Phone
(214) 575-2663
Fax
(214) 575-2664
NPI assigned
Dec 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Cassie Babarovic
Title
Practice Manager
Phone
(214) 575-2663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X L2467 TX Primary

Addresses

Primary practice location

1120 W Campbell Rd
Suite 109
Richardson, TX 75080-2976

Mailing address

1120 W Campbell Rd
Suite 109
Richardson, TX 75080-2976
Phone (214) 575-2663

Other identifiers 1

IdentifierTypeStateIssuer
148878501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930095251 TX DME Supplier - Physician - Orthopedic/Orthopedic Surgery 5092916882 1 other NPI on this enrollment
Practice locations: Richardson, TX
O20110328000620 TX Part B Supplier - Clinic/Group Practice 5092916882 Receives reassigned benefits from 2 practitioners
Practice locations: Richardson, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1120 W Campbell Rd
Richardson, TX 75080

1120 W Campbell Rd
Ste 109
Richardson, TX 75080
Phone (214) 575-2663

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1669654398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W CAMPBELL RD",
            "address_2": "SUITE 109",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802976",
            "telephone_number": "214-575-2663",
            "fax_number": "214-575-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W CAMPBELL RD",
            "address_2": "SUITE 109",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802976",
            "telephone_number": "214-575-2663",
            "fax_number": "214-575-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE ORTHOPAEDICS & REHABILITATION, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "BABAROVIC",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "214-575-2663"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "L2467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148878501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.