Individual provider Active NPI

Azarael Titus Dunbar, MD

  • Family Medicine Physician
  • Abilene, TX
National Provider Identifier
1780175174
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T0773 Issued in TX
Practice address
1150 N 18TH St Ste 300
Abilene, TX 79601-2931
Phone
(325) 670-2255
Fax
(833) 680-9963
NPI assigned
May 22, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X T0773 TX Primary

Addresses

Primary practice location

1150 N 18TH St Ste 300
Abilene, TX 79601-2931

Mailing address

1150 N 18TH St Ste 300
Abilene, TX 79601-2931
Phone (325) 670-2255

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
I20210608002574 TX Practitioner - Family Practice 6709286024 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oakland Univ, William Beaumont School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catalyst Physician Group - NTX, PLLCGroup PAC ID 4284074758, 87 clinicians

Practice addresses (Care Compare)

1926 SW Green Oaks Blvd
Arlington, TX 76017-2735
Phone (817) 472-5522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
T0773TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network CurrentSince Aug 2, 2021 Accepting new patients
Catalyst Physician Group - NTX, PLLC Family Medicine CurrentSince Apr 6, 2024 Accepting new patients
Hendrick Provider Network Family Medicine CurrentSince Aug 2, 2021 Accepting new patients
Family Healthcare Associates Family Medicine PastSince Jun 24, 2014 Accepting new patients

Locations

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

1150 N 18th St
Ste 300
Abilene, TX 79601
Phone (325) 670-2255

1926 SW Green Oaks Blvd
Arlington, TX 76017
Phone (817) 200-7088

300 E Commerce St
Brownwood, TX 76801
Phone (325) 510-3400

469 Westpark Way
Euless, TX 76040
Phone (817) 283-2888

1610 Commons Cir
Northlake, TX 76226
Phone (940) 725-3400

Interoperability endpoints

  • Direct secure messaging: azarael.dunbar.1@30724.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1780175174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N 18TH ST STE 300",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012931",
            "telephone_number": "325-670-2255",
            "fax_number": "833-680-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 18TH ST STE 300",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012931",
            "telephone_number": "325-670-2255",
            "fax_number": "833-680-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNBAR",
        "first_name": "AZARAEL",
        "middle_name": "TITUS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-22",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T0773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.