Individual provider Active NPI

Robert Blaine Rozell, PA-C

  • Physician Assistant
  • Decatur, TX
National Provider Identifier
1881064301
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
800 Medical Center Dr
Decatur, TX 76234-3843
Phone
(940) 539-4963
NPI assigned
Sep 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TX Primary

Addresses

Primary practice location

800 Medical Center Dr
Decatur, TX 76234-3843

Mailing address

800 Medical Center Dr
Ste C
Decatur, TX 76234-3844
Phone (940) 626-2110

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160428001323 TX Practitioner - Physician Assistant 4486953247 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Orthopaedics of Irving PLLCGroup PAC ID 3779667092, 57 clinicians

Practice addresses (Care Compare)

3200 N Tarrant Pkwy
Fort Worth, TX 76177-8611
Phone (817) 503-7300

4375 Booth Calloway Rd
Suite 201
North Richland Hills, TX 76180-8361
Phone (877) 314-8990

4401 Booth Calloway Rd
North Richland Hills, TX 76180-7371
Phone (817) 255-1000

6800 N Macarthur Blvd
Las Colinas Medical Center
Irving, TX 75039-2422
Phone (972) 969-2000

8800 Medical City Way
Fort Worth, TX 76177-2476
Phone (877) 314-8990

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 5

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 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": "1443225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1881064301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MEDICAL CENTER DR",
            "address_2": "STE C",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343844",
            "telephone_number": "940-626-2110",
            "fax_number": "940-626-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MEDICAL CENTER DR",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343843",
            "telephone_number": "940-539-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZELL",
        "first_name": "ROBERT",
        "middle_name": "BLAINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-26",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

Verify at the official NPI Registry.