Individual provider Active NPI

Rogelio De la Rosa, NP-C

  • Family Nurse Practitioner
  • Addison, TX
National Provider Identifier
1679181440
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1003527 Issued in TX
Practice address
4135 Belt Line Rd Ste 124
Addison, TX 75001-5879
Phone
(469) 495-9126
NPI assigned
Jul 17, 2020
Last updated
Aug 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1003527 TX Primary

Addresses

Primary practice location

4135 Belt Line Rd Ste 124
Addison, TX 75001-5879

Mailing address

4951 Long Prairie Rd Ste 120
Flower Mound, TX 75028-2709
Phone (972) 691-9190

Other practice location 1

4951 Long Prairie Rd Ste 120
Flower Mound, TX 75028-2709
Phone (972) 691-9190

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rdelarosa1713585@Direct.TexasHealth.org Health Information Exchange (HIE)

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
I20210322000484 TX Practitioner - Nurse Practitioner 1456768381 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Urgent CareGroup PAC ID 0345654414, 128 clinicians

Practice addresses (Care Compare)

4135 Belt Line Rd
Suite 124
Addison, TX 75001-5879
Phone (469) 495-9126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1003527TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Urgent Care CurrentSince Aug 1, 2023 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Apr 1, 2021 Accepting new patients
Texas Health Urgent Care CurrentSince Aug 1, 2023 Accepting new patients
Texas Health Urgent Care Family Current Accepting new patients
Texas Health Urgent Care Current Accepting new patients
Texas Health Physicians Group CurrentSince Apr 1, 2021 Accepting new patients
Jawad a Qureshi MD PA PastSince Mar 1, 2021 Accepting new patients

Locations

4135 Belt Line Rd
Ste 124
Addison, TX 75001
Phone (469) 495-9126

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

6411 E Northwest Hwy
Dallas, TX 75231
Phone (469) 495-9110

251 Westpark Way
Ste 212
Euless, TX 76040
Phone (214) 570-2319

125 Davis Blvd
Southlake, TX 76092
Phone (682) 212-9104

Interoperability endpoints

  • Direct secure messaging: rdelarosa1713585@direct.texashealth.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1679181440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 LONG PRAIRIE RD STE 120",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282709",
            "telephone_number": "972-691-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 BELT LINE RD STE 124",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750015879",
            "telephone_number": "469-495-9126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4951 Long Prairie Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "750282709",
            "country_code": "US",
            "telephone_number": "972-691-9190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LA ROSA",
        "first_name": "ROGELIO",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-17",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1003527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdelarosa1713585@Direct.TexasHealth.org",
            "affiliation": "N",
            "endpointDescription": "Health information exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4135 Belt Line Rd Ste 124",
            "city": "Addison",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750015879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

Verify at the official NPI Registry.