Individual provider Active NPI

Robert Alan Woodward, M.D.

  • Adult Medicine Physician
  • Rockwall, TX
National Provider Identifier
1720247604
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
G8518 Issued in TX
Practice address
500 Turtle Cove Blvd
Suite 110a
Rockwall, TX 75087-5384
Phone
(469) 769-1101
Fax
(469) 769-1102
NPI assigned
Jun 5, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G8518 TX
Adult Medicine Physician 207QA0505X G8518 TX Primary

Addresses

Primary practice location

500 Turtle Cove Blvd
Suite 110a
Rockwall, TX 75087-5384

Mailing address

500 Turtle Cove Blvd
Suite 110a
Rockwall, TX 75087-5384
Phone (469) 769-1101

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
I20090414000174 TX Practitioner - General PracticePractitioner - PsychiatryPractitioner - Neuropsychiatry 1759438526 Practice locations: Rockwall, TX

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Psychiatry
Education
University of Texas Medical Branch at Galveston, 1984
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

500 Turtle Cove Blvd
110A
Rockwall, TX 75087-5316
Phone (972) 325-2832

Hospital & facility affiliations

  • Angel Home Healthcare Services Home health agency, Mesquite, TX, CCN 747214
  • Your Health Team LLC Home health agency, Kaufman, TX, CCN 679496
  • Medsource Health Care System Home health agency, Dallas, TX, CCN 679551
  • Too Care Home Health Agency Inc Home health agency, Dallas, TX, CCN 747005
  • Ultimate Home Health Care Home health agency, Mesquite, TX, CCN 679543

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Alan Woodward MD PA Psychiatry PastSince Mar 10, 2010 Accepting new patients
Domicilliary Service LLC Past Accepting new patients

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1720247604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 TURTLE COVE BLVD",
            "address_2": "SUITE 110A",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875384",
            "telephone_number": "469-769-1101",
            "fax_number": "469-769-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 TURTLE COVE BLVD",
            "address_2": "SUITE 110A",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875384",
            "telephone_number": "469-769-1101",
            "fax_number": "469-769-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "ROBERT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "G8518",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "G8518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.