Individual provider Active NPI

Carlton J Rojas, NP

  • Nurse Practitioner
  • Tyler, TX
National Provider Identifier
1760770028
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP120648 Issued in TX
Practice address
800 E Dawson St
Tyler, TX 75701-2036
Phone
(903) 525-1914
NPI assigned
Jul 20, 2011
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP120648 TX Primary

Addresses

Primary practice location

800 E Dawson St
Tyler, TX 75701-2036

Mailing address

PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6400

Other practice location 1

18780 Interstate 20
Canton, TX 75103-3593
Phone (903) 567-7748

Other practice location 2

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 541-4500

Other practice location 3

115 Airport Rd
Sulphur Springs, TX 75482-2105
Phone (903) 885-7671

Other practice location 4

8389 S Broadway Ave
Tyler, TX 75703-5408
Phone (903) 606-6500

Other identifiers 14

IdentifierTypeStateIssuer
P01502514OtherTXRAIL ROAD
75-0818167-048OtherTXTRICARE
288249021MedicaidTX
288249020MedicaidTX
75-1976930-005OtherTXTRICARE
8012NQOtherTXBCBS
288249015MedicaidTX
710892OtherTXTX NURSING LICENSE
75-2616977-042OtherTXTRICARE
8460NYOtherTXBCBS
8461NYOtherTXBCBS
P01719544OtherTXRAIL ROAD MEDICARE
P01731691OtherTXRAIL ROAD MEDICARE
288249013MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111017000641 TX Practitioner - Nurse Practitioner 7315119377 Reassigns benefits to 5 organizations
I20160712001430 LA Practitioner - Nurse Practitioner 7315119377 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Texas Emergency Physicians PLLCGroup PAC ID 8527420306, 195 clinicians
Northeast Texas Intensivists, PLLCGroup PAC ID 5092167528, 48 clinicians

Practice addresses (Care Compare)

1509 S Palestine St
Athens, TX 75751-8950
Phone (903) 675-6909

700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Texas Emergency Physicians, PLLC Nurse Practitioner CurrentSince Oct 21, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jul 13, 2015 Accepting new patients
Northern Louisiana Emergency Physicians LLP CurrentSince Jun 1, 2016 Accepting new patients
Northeast Texas Intensivists, PLLC Nurse Practitioner CurrentSince Mar 1, 2024 Accepting new patients
Northern Louisiana Emergency Physicians, LLP Nurse Practitioner CurrentSince Jun 1, 2016 Accepting new patients
Northern Louisiana Emergency Physicians LLP Nurse Practitioner CurrentSince Jan 4, 2019 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Nurse Practitioner CurrentSince Apr 1, 2022 Accepting new patients
Mother Frances Hospital Regional Health Care Center CurrentSince Aug 1, 2016 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jul 13, 2015 Accepting new patients
Mother Frances Hospital Jacksonville CurrentSince Aug 1, 2016 Accepting new patients
Cogent Healthcare of Texas, PA Nurse Practitioner CurrentSince Apr 1, 2022 Accepting new patients
Emcare GLT Emergency Physicians PLLC Past Accepting new patients
McKinney Emergency Physicians PLLC Past Accepting new patients
Hebron Emergency Physicians PLLC Past Accepting new patients
Dallas Emergency Physicians PLLC Past Accepting new patients
Texas Obs-1 Medical Services, P.a. Past Accepting new patients
Texas Em-I Medical Services, P.a. Past Accepting new patients
Grapevine Emergency Physicians PLLC Nurse Practitioner Past Accepting new patients
Ellis Emergency Physicians PLLC Past Accepting new patients

Locations

4200 Nelson Rd
Lake Charles, LA 70605
Phone (318) 474-6370

1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042

401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

1509 State Highway 19 S
Athens, TX 75751
Phone (903) 606-4262

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

8220 Walnut Hill Ln
Ste 408
Dallas, TX 75231
Phone (214) 361-9777

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

115 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 439-4052

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

8389 S Broadway Ave
Tyler, TX 75703
Phone (903) 606-4129

Interoperability endpoints

  • Direct secure messaging: carlton.rojas.1@3681.direct.athenahealth.com
  • Direct secure messaging: crojas109428@christushealth.direct-ci.net
  • Direct secure messaging: rojas_carlton--hospitalist@yourcarecommunity.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 1

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": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1760770028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846098",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846098",
            "telephone_number": "903-324-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E DAWSON ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012036",
            "telephone_number": "903-525-1914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18780 Interstate 20",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "TX",
            "postal_code": "751033593",
            "country_code": "US",
            "telephone_number": "903-567-7748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2026 S Jackson St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "TX",
            "postal_code": "757665822",
            "country_code": "US",
            "telephone_number": "903-541-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Sulphur Springs",
            "state": "TX",
            "postal_code": "754822105",
            "country_code": "US",
            "telephone_number": "903-885-7671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8389 S Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757035408",
            "country_code": "US",
            "telephone_number": "903-606-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROJAS",
        "first_name": "CARLTON",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-20",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP120648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD",
            "identifier": "P01502514",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75-0818167-048",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288249021",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288249020",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75-1976930-005",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8012NQ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288249015",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX NURSING LICENSE",
            "identifier": "710892",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75-2616977-042",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8460NY",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8461NY",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P01719544",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P01731691",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288249013",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.