Individual provider Active NPI

Charles Craig Rogers, P.A.

  • Physician Assistant
  • El Paso, TX
National Provider Identifier
1669781720
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06973 Issued in TX
Practice address
6974 Gateway Blvd E
Ste F
El Paso, TX 79915-1115
Phone
(915) 774-8850
Fax
(915) 598-3946
NPI assigned
Oct 6, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA06973 TX Primary

Addresses

Primary practice location

6974 Gateway Blvd E
Ste F
El Paso, TX 79915-1115

Mailing address

8030 N Loop Dr
El Paso, TX 79915-3226
Phone (915) 591-2704

Other identifiers 1

IdentifierTypeStateIssuer
218708001MedicaidTX

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101028001520 TX Practitioner - Physician Assistant 1254525793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health Physicians PLLCGroup PAC ID 7810237740, 240 clinicians

Practice addresses (Care Compare)

14856 Preston Rd
Suite 100
Dallas, TX 75254-9197
Phone (972) 387-8900

1559 W Main St
Lewisville, TX 75067-3394
Phone (972) 436-0333

2221 Abrams Rd
Dallas, TX 75214-3620
Phone (972) 674-8510

2432 Avondale Haslet Rd
Suite 100
Haslet, TX 76052-3446
Phone (817) 928-3149

2851 W Interstate Hwy 635
Irving, TX 75063-3144
Phone (214) 496-0820

345 N Hwy 67
Cedar Hill, TX 75104-2134
Phone (972) 956-5300

377 W Campbell Rd
Suite 100
Richardson, TX 75080-3695
Phone (469) 232-2945

8450 E Fwy
Fort Worth, TX 76120-4413
Phone (817) 459-2005

8901 N Fwy 111
Fort Worth, TX 76177-7655
Phone (469) 778-5228

9323 Lyndon B Johnson Fwy
Dallas, TX 75243-3403
Phone (214) 570-3003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA06973TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pablo Casares MD PA PastSince Jan 5, 2026 Accepting new patients
Diagnostic Pro Imaging Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFDFDD

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": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1669781720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 N LOOP DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799153226",
            "telephone_number": "915-591-2704",
            "fax_number": "915-598-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6974 GATEWAY BLVD E",
            "address_2": "STE F",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799151115",
            "telephone_number": "915-774-8850",
            "fax_number": "915-598-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "CHARLES",
        "middle_name": "CRAIG",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-06",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218708001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.