Active NPI
Joseph Martin Cuellar, PA-C
- Physician Assistant
- Hurst, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA11384
- Practice address
- 779 Grapevine Hwy
Hurst, TX 76054-2805 - Phone
- (817) 428-7300
- Fax
- (817) 428-1085
- NPI assigned
- May 3, 2017
- Last updated
- Jul 21, 2022
- 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 | PA11384 | TX | Primary |
Addresses
Primary practice location
779 Grapevine Hwy
Hurst, TX 76054-2805
Mailing address
645 E State Highway 121 Ste 600
Coppell, TX 75019-7942
Phone (972) 906-8107
Other practice location 1
2460 N Ih 35 E
Ste. 225
Waxahachie, TX 75165-5266
Phone (214) 826-1730
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
104 S Main St
Keller, TX 76248-5003
Phone (214) 295-9385
1501 Hwy 287 N
Mansfield, TX 76063-4855
Phone (817) 453-8080
2310 W University Dr
Suite 1500
Denton, TX 76201-1650
Phone (940) 220-5901
345 N Hwy 67
Cedar Hill, TX 75104-2134
Phone (972) 956-5300
377 W Campbell Rd
Suite 100
Richardson, TX 75080-3695
Phone (469) 232-2945
39769 Lyndon B Johnson Fwy
Dallas, TX 75237-3560
Phone (972) 780-0802
454 N Jim Wright Fwy
White Settlement, TX 76108-1437
Phone (682) 703-4505
5653 McPherson Blvd
Fort Worth, TX 76123-6023
Phone (682) 354-3100
7400 McCart Ave
Fort Worth, TX 76133-7270
Phone (817) 294-1651
8450 E Fwy
Fort Worth, TX 76120-4413
Phone (817) 459-2005
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA11384 | TX | MD | Physician Assistant |
Organizations & group practices 1
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.
-
- Urgent Care Clinic/Center
- Denton, TX
- NPI 1770048704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1770019283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 E STATE HIGHWAY 121 STE 600",
"city": "COPPELL",
"state": "TX",
"postal_code": "750197942",
"telephone_number": "972-906-8107",
"fax_number": "972-956-8887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "779 GRAPEVINE HWY",
"city": "HURST",
"state": "TX",
"postal_code": "760542805",
"telephone_number": "817-428-7300",
"fax_number": "817-428-1085"
}
],
"practiceLocations": [
{
"address_1": "2460 N Ih 35 E",
"address_2": "Ste. 225",
"address_purpose": "LOCATION",
"city": "Waxahachie",
"state": "TX",
"postal_code": "751655266",
"country_code": "US",
"telephone_number": "214-826-1730",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUELLAR",
"first_name": "JOSEPH",
"middle_name": "MARTIN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA11384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hurst, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.