Active NPI
Roy A Malphurs, PA
- Physician Assistant
- Mesquite, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00279
- Practice address
- 1320 N Galloway Ave Ste 104
Mesquite, TX 75149-2461 - Phone
- (972) 216-4900
- Fax
- (972) 216-4903
- NPI assigned
- Aug 9, 2006
- Last updated
- Aug 12, 2021
- 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 | PA00279 | TX | Primary |
Addresses
Primary practice location
1320 N Galloway Ave Ste 104
Mesquite, TX 75149-2461
Mailing address
1320 N Galloway Ave Ste 104
Mesquite, TX 75149-2461
Phone (972) 216-4900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8N8623 | Other | TX | BCBS OF TEXAS |
| 8N9708 | Other | TX | BCBS OF TEXAS |
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, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
125 E Grubb Dr
109 Wellmed at Mesquite
Mesquite, TX 75149-3402
Phone (972) 285-6349
6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA00279 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmed Medical Group, PA | Current | Accepting new patients | |
| Wellmed Medical Group, P.a. | Current | Accepting new patients | |
| Carefirst Night Clinic | Current | Accepting new patients | |
| O'Connor Medical Center, P.a. | Past | Accepting new patients | |
| Edward C. Juarez, MD, PA | Past | Accepting new patients | |
| 303 Medical Clinic, P.a. | Past | Accepting new patients | |
| Gary Grindstaff Dpmpa | Past | Accepting new patients |
Locations
1401 W Jefferson Blvd
Dallas, TX 75208
Phone (214) 941-9200
4323 S Hampton Rd
Dallas, TX 75232
Phone (214) 330-7777
9353 Elam Rd
Dallas, TX 75217
Phone (214) 391-1158
1721 N Lee Trevino Dr
El Paso, TX 79936
Phone (915) 590-9424
710 E Pioneer Pkwy
#303
Grand Prairie, TX 75051
Phone (972) 262-8211
1320 N Galloway Ave
Ste 104
Mesquite, TX 75149
Phone (972) 216-4900
6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411
8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500
Interoperability endpoints
- roy.malphurs@wellmed.eclinicaldirectplus.com
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1437156486
-
- Family Medicine Physician
- Mesquite, TX
- NPI 1891254918
-
dba WellMed Doctor's Hospital Senior Clinic
- Family Medicine Physician
- Corpus Christi, TX
- NPI 1740588243
-
- Family Medicine Physician
- Grand Prarie, TX
- NPI 1437270220
-
dba Eastside Medical Care Center, PA
- General Practice Physician
- El Paso, TX
- NPI 1255318630
-
- Foot & Ankle Surgery Podiatrist
- El Paso, TX
- NPI 1619017050
-
- Family Medicine Physician
- Irving, TX
- NPI 1174644496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1699785592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 N GALLOWAY AVE STE 104",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751492461",
"telephone_number": "972-216-4900",
"fax_number": "972-216-4903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 N GALLOWAY AVE STE 104",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751492461",
"telephone_number": "972-216-4900",
"fax_number": "972-216-4903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALPHURS",
"first_name": "ROY",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA00279",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "8N8623",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "8N9708",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.