Individual provider Active NPI

Charles Darren Rape, PA

  • Physician Assistant
  • Granbury, TX
National Provider Identifier
1932183464
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA03786 Issued in TX
Practice address
1308 Paluxy Rd Ste 203E
Granbury, TX 76048-5689
Phone
(817) 579-7246
Fax
(817) 579-3916
NPI assigned
Nov 29, 2005
Last updated
Jun 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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 PA03786 TX Primary

Addresses

Primary practice location

1308 Paluxy Rd Ste 203E
Granbury, TX 76048-5689

Mailing address

3105 Walnut Creek Pkwy
Granbury, TX 76049-7916
Phone (817) 326-2750

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address charles.rape.1@1293.direct.athenahealth.com

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
I20050914000520 TX Practitioner - Physician Assistant 8123051786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hood Medical GroupGroup PAC ID 2567446669, 56 clinicians

Practice addresses (Care Compare)

1308 E Paluxy Rd
Granbury, TX 76048-5655

1308 E Paluxy Rd
Suite 203
Granbury, TX 76048-5689
Phone (817) 579-7246

1308 Paluxy Rd
Granbury, TX 76048-5689

1310 B Paluxy Rd
Granbury, TX 76048-5655

1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 579-2963

1318 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 573-8805

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hood Medical Group Physician Assistant CurrentSince Mar 1, 2017 Accepting new patients
Hood Medical Group CurrentSince Mar 1, 2017 Accepting new patients
Texas Health Physicians Group Past Accepting new patients
Medical Clinic of North Texas PLLC Past Accepting new patients
Tarrant Family Practice P.a Past Accepting new patients
Orthotx, PLLC Past Accepting new patients
Orthotx, PLLC Past Accepting new patients

Locations

1308 Paluxy Rd
Ste 203
Granbury, TX 76048
Phone (817) 279-1667

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

1318 Paluxy Rd
Granbury, TX 76048
Phone (800) 650-4990

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1932183464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 WALNUT CREEK PKWY",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760497916",
            "telephone_number": "817-326-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 PALUXY RD STE 203E",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485689",
            "telephone_number": "817-579-7246",
            "fax_number": "817-579-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPE",
        "first_name": "CHARLES",
        "middle_name": "DARREN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charles.rape.1@1293.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1308 Paluxy Rd Ste 203E",
            "city": "Granbury",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760485689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

Verify at the official NPI Registry.