Individual provider Active NPI

Paul Payberah, PA

  • Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1689819476
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06003 Issued in TX
Practice address
6825 Green Oaks Rd
Fort Worth, TX 76116-1713
Phone
(817) 737-7000
NPI assigned
Dec 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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 PA06003 TX Primary

Addresses

Primary practice location

6825 Green Oaks Rd
Fort Worth, TX 76116-1713

Mailing address

6825 Green Oaks Rd
Fort Worth, TX 76116-1713
Phone (817) 737-7000

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
I20090127000090 TX Practitioner - Physician Assistant 4486718079 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

1106 Alston Ave
Suite 120
Fort Worth, TX 76104-4622
Phone (817) 332-0660

2500 W Fwy
Suite 100
Fort Worth, TX 76102-5850
Phone (817) 882-8700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA06003TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care, P.a. CurrentSince Jul 14, 2025 Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients

Locations

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

3817 Stagg Dr
Beaumont, TX 77701
Phone (409) 813-1920

4025 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-8255

Organizations & group practices 5

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": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1689819476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 GREEN OAKS RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761161713",
            "telephone_number": "817-737-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 GREEN OAKS RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761161713",
            "telephone_number": "817-737-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYBERAH",
        "first_name": "PAUL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-08",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.