Individual provider Active NPI

Roy A Malphurs, PA

  • Physician Assistant
  • Mesquite, TX
National Provider Identifier
1699785592
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00279 Issued in TX
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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 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

IdentifierTypeStateIssuer
8N8623OtherTXBCBS OF TEXAS
8N9708OtherTXBCBS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040219000422 TX Practitioner - Physician Assistant 1658266473 Reassigns benefits to 1 organization

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
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA00279TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA CurrentSince Jul 1, 2021 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Jul 1, 2021 Accepting new patients
Carefirst Night Clinic CurrentSince Aug 15, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.