Active NPI
Paul Payberah, PA
- Physician Assistant
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA06003
- 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
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 | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA06003 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care, P.a. | Current | 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.
-
- Health Service Clinic/Center
- Addison, TX
- NPI 1275651002
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1780076562
-
- Emergency Medicine Physician
- Fort Worth, TX
- NPI 1285922542
-
- Physical Medicine & Rehabilitation Physician
- Plano, TX
- NPI 1316078769
-
- Nurse Practitioner
- Sulphur Springs, TX
- NPI 1477741486
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.