ROCKWOOD MEDICAL CLINIC, P.A.
NPI 1033311857
Family Medicine in Fort Worth, TX

Active since June 04, 2007CLIA 45D0900849 · Microscopy
1217 GRAND AVE, FORT WORTH, TX 76106(817) 625-7733(817) 740-1602 Get Directions Write a Review

NPPES record last updated: June 30, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rockwood Medical Clinic, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROCKWOOD MEDICAL CLINIC, P.A. (NPI 1033311857) is a healthcare organization registered as a family medicine in Fort Worth, Texas and active in the NPI registry since June 2007. The organization holds a CLIA Microscopy certificate valid through May 8, 2027 and lists Michele Lee Garza, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1033311857
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROCKWOOD MEDICAL CLINIC, P.A.
Location Address1217 GRAND AVEFort Worth, TX 76106-9041
Mailing AddressPo Box 4705Fort Worth, TX 76164-0705 · (817) 625-7733 · Fax (817) 740-1602
Fax(817) 740-1602
Organization SubpartNo
Authorized OfficialMichele Lee GarzaOffice Manager · (817) 625-7733
Enumeration DateJune 4, 2007
Last NPPES UpdateJune 30, 2010
✔ NPI 1033311857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · H0411
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1217 GRAND AVE, Fort Worth, TX 76106

Other Identifiers 3

Medicare UPIND97361TX
Medicare PIN8A9698TX
Other8J1230TX · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rockwood Medical Clinic, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rockwood Medical Clinic, P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1699768481
1217 GRAND AVE
Fort Worth, TX 76106
(817) 625-7733
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D0900849

Rockwood Medical Clinic · Fort Worth, TX
Active · expires May 8, 2027
CLIA Number45D0900849
Laboratory TypePhysician Office
Certificate Effective DateMay 9, 2025
Certificate Expiration DateMay 8, 2027
Laboratory DirectorAlex Guevara Jr Do
Laboratory Phone(817) 625-7733
Laboratory LocationRockwood Medical Clinic1217 Grand Avenue, Fort Worth, TX 76164
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rockwood Medical Clinic, P.A.'s NPI number?

The NPI number for Rockwood Medical Clinic, P.A. is 1033311857. It was assigned to this organization in the NPPES registry on June 4, 2007.

Where is Rockwood Medical Clinic, P.A. located?

Rockwood Medical Clinic, P.A. is located at 1217 Grand Ave, Fort Worth, TX 76106. The listed phone number is (817) 625-7733.

What is Rockwood Medical Clinic, P.A.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rockwood Medical Clinic, P.A. enrolled in Medicare?

Yes. Rockwood Medical Clinic, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rockwood Medical Clinic, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Rockwood Medical Clinic, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Rockwood Medical Clinic, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D0900849) is associated with this NPI, valid through May 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rockwood Medical Clinic, P.A. was last updated on June 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.