Individual provider Active NPI

Rody Barakat, MD

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1922637388
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32679 Issued in WV
Practice address
1500 S Main St FL 4
Fort Worth, TX 76104-4917
Phone
(817) 702-1215
Fax
(781) 792-7684
NPI assigned
Apr 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32679 WV Primary

Addresses

Primary practice location

1500 S Main St FL 4
Fort Worth, TX 76104-4917

Mailing address

200 W Magnolia Ave Ste 201
Fort Worth, TX 76104-7657
Phone (817) 702-2977

Other practice location 1

3308 Deen Rd
Fort Worth, TX 76106-6524
Phone (817) 702-1100

Other identifiers 1

IdentifierTypeStateIssuer
U7102OtherTXTMB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231016002660 TX Practitioner - Family Practice 5597182147 Reassigns benefits to 3 organizations
I20231121000938 WV Practitioner - Family Practice 5597182147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acclaim Physician Group IncGroup PAC ID 4587963582, 520 clinicians

Practice addresses (Care Compare)

1500 S Main St
FL 4
Fort Worth, TX 76104-4917
Phone (817) 702-1215

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32679WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acclaim Physician Group, Inc CurrentSince Oct 13, 2023 Accepting new patients
Vpa of Texas PLLC Family Medicine CurrentSince Apr 2, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 14, 2023 Accepting new patients
Vpa of Texas PLLC CurrentSince Apr 2, 2024 Accepting new patients
360 Plus Clinics PLLC Family Medicine Current Accepting new patients
Vpa of Texas PLLC Family Medicine Current Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

1500 S Main St
Fl 4
Fort Worth, TX 76104
Phone (817) 702-1215

3308 Deen Rd
Ft Worth, TX 76106
Phone (817) 702-1819

200 W Magnolia Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 702-2450

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

Interoperability endpoints

  • Direct secure messaging: rody.barakat.p12@direct.cornerstonecare.nextgenshare.com
  • Direct secure messaging: rbarakat103009@direct.jpshealth.org

Organizations & group practices 6

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": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1922637388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W MAGNOLIA AVE STE 201",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047657",
            "telephone_number": "817-702-2977",
            "fax_number": "724-324-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST FL 4",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-702-1215",
            "fax_number": "781-792-7684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3308 Deen Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761066524",
            "country_code": "US",
            "telephone_number": "817-702-1100",
            "fax_number": "817-702-7097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARAKAT",
        "first_name": "RODY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "32679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMB",
            "identifier": "U7102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.