Active NPI
Charles Craig Rogers, P.A.
- Physician Assistant
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA06973
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 218708001 | Medicaid | TX |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA06973 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pablo Casares MD PA | Past | Accepting new patients | |
| Diagnostic Pro Imaging | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Urgent Care Clinic/Center
- Denton, TX
- NPI 1770048704
-
- Diagnostic Radiology Physician
- El Paso, TX
- NPI 1346777190
-
- Nephrology Physician
- El Paso, TX
- NPI 1770048175
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.