Leonard Q Gruppo Jr., PA-C
Individual provider Active NPI Physician Assistant · Rockwall, TX
NPI 1831189372 · NPPES record last updated May 6, 2023
Key facts
- NPI
- 1831189372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA02885 (TX)
- Practice address
- 810 E Ralph Hall Pkwy Unit 100
Rockwall, TX 75032 - Phone
- (469) 402-3400
- NPI assigned
- Oct 26, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hunt Regional Urgent Care
Hospitalist Medicine Physicians of New Mexico - Clovis LLC
Practice addresses (Care Compare)
1080 E Lennon Dr
Suite 1
Emory, TX 75440-5253
Phone (430) 266-6008
2800 State Hwy 24
Suite C
Commerce, TX 75428-2017
Phone (903) 886-1055
3206 Interstate 30
Suite B
Greenville, TX 75402-7002
Phone (903) 408-7979
4900 N Lovington Hwy
Hobbs Hospital
Hobbs, NM 88240-9109
Phone (575) 492-5000
5000 E Interstate Hwy 30
Suite 120
Fate, TX 75189-8848
Phone (469) 580-0338
576 W Interstate 30
Royse City, TX 75189-7538
Phone (469) 351-0100
810 E Ralph Hall Pkwy
Suite 100
Rockwall, TX 75032-6879
Phone (469) 402-3400
Hospital & facility affiliations
- Hunt Regional Medical Center
- Covenant Health Hobbs Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060301000438 | TX | Practitioner - Physician Assistant | 5395751234 | Reassigns benefits to 4 organizations |
| I20170323001330 | NM | Practitioner - Physician Assistant | 5395751234 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Odessa Physician Associates, PLLC | Physician Assistant | Current |
Accepting new patients |
| Hunt Memorial Hospital District | Current |
Accepting new patients | |
| Texas Em-I Medical Services PA | Current |
Accepting new patients | |
| Questcare Medical Services PLLC | Physician Assistant | Current |
Accepting new patients |
| Michael a Rowley MD PA | Past | Accepting new patients | |
| Plano Urgent Care LLC | Past |
Accepting new patients |
Locations
13737 Noel Rd
Ste 1600
Dallas, TX 75240
Phone (214) 712-2489
5000 E Interstate 30
Ste 120
Fate, TX 75189
Phone (469) 540-2482
4211 Joe Ramsey Blvd E
Ste 100
Greenville, TX 75401
Phone (903) 408-7700
4215 Ramsey Blvd E
Greenville, TX 75401
Phone (903) 408-1470
8000 Eldorado Pkwy
McKinney, TX 75070
Phone (469) 424-6400
520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929
3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115
810 E Ralph Hall Pkwy
Ste 100
Rockwall, TX 75032
Phone (469) 402-3400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA02885 | TX | Yes |
Addresses
Primary practice location
810 E Ralph Hall Pkwy Unit 100
Rockwall, TX 75032
Mailing address
3851 Roger Brooke Dr
Fort Sam Houston, TX 78234-4501
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60430851 | Medicaid | NM |
Other providers in Rockwall, TX
- Carson Grace Grimes
- Kaylie Grimes
- Leonello Patrick Grisanti II
- Bruno Gross
- Jessica Groth
- Leonel Guardiola
- Jessica Guazzone
- Brandon Omar Guevara
- Kaitlyn Nicole Guice
- Guidepost Counseling, P.a.
All providers in Rockwall, TX · Physician Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.