Individual provider Active NPI

Alex Guevara Jr., D.O.

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1699768481
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0411 Issued in TX
Practice address
1217 Grand Ave
Fort Worth, TX 76106-9041
Phone
(817) 625-7733
Fax
(817) 740-1602
NPI assigned
Aug 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H0411 TX Primary

Addresses

Primary practice location

1217 Grand Ave
Fort Worth, TX 76106-9041

Mailing address

1217 Grand Ave
Fort Worth, TX 76106-9041
Phone (817) 625-7733

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120514000704 TX Practitioner - Family Practice 0446319271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1217 Grand Ave
Fort Worth, TX 76164-9041
Phone (817) 625-7733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
H0411TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockwood Medical Clinic, P.a. Family Medicine CurrentSince Jan 1, 2003 Accepting new patients
Rockwood Wellness Clinic LLC Family Medicine CurrentSince Jun 8, 2025 Accepting new patients

Locations

1217 Grand Ave
Fort Worth, TX 76164
Phone (817) 618-0513

Interoperability endpoints

  • Direct secure messaging: alexguevara@rmcfw.allscriptsdirect.net

Organizations & group practices 2

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": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1699768481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 GRAND AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761069041",
            "telephone_number": "817-625-7733",
            "fax_number": "817-740-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 GRAND AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761069041",
            "telephone_number": "817-625-7733",
            "fax_number": "817-740-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H0411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.