MD TRUCARE PA
NPI 1043754526
Internal Medicine - Endocrinology, Diabetes & Metabolism in Grapevine, TX
About Md Trucare Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MD TRUCARE PA (NPI 1043754526) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Grapevine, Texas and active in the NPI registry since December 2016. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Fort Worth, and lists Ayesha Ebrahim, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Md Trucare Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
29Medicare enrollment records show 29 clinicians reassign Medicare billing to MD Trucare PA, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 29Source: 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 2
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 of Waiver 45D2266492
MD Trucare · Fort Worth, TXCertificate of Waiver 45D2165884
MD Trucare, PA · Grapevine, TXFrequently 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 MD Trucare PA's NPI number?
The NPI number for MD Trucare PA is 1043754526. It was assigned to this organization in the NPPES registry on December 19, 2016.
Where is MD Trucare PA located?
MD Trucare PA is located at 823 Ira E Woods Ave Ste 200, Grapevine, TX 76051. The listed phone number is (817) 722-6078.
What is MD Trucare PA's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.
Is MD Trucare PA enrolled in Medicare?
Yes. MD Trucare PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through MD Trucare PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 7 Medicare specialties reassign their Medicare billing to MD Trucare PA. 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. The largest specialties are Nurse Practitioner (20), Clinical Social Worker (3) and Mental Health Counselor (2). Of these, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does MD Trucare PA hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does MD Trucare PA accept?
Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and WellPoint list MD Trucare PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for MD Trucare PA was last updated on March 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Md Trucare Pa · NPI 1043754526
Endocrinology, Diabetes & Metabolism organization in Grapevine, Texas. Organization record, active in the CMS NPPES registry since December 19, 2016.
## Identity
- **NPI:** 1043754526 (Entity type: Organization)
- **Enumerated:** December 19, 2016
- **Primary specialty:** Internal Medicine - Endocrinology, Diabetes & Metabolism · taxonomy 207RE0101X
- **Organization subpart:** No
- **Authorized official:** Ayesha Ebrahim, CEO
## Practice location
- **Address:** 823 IRA E WOODS AVE STE 200, Grapevine, TX 76051-4096
- **Phone:** (817) 722-6078 · **Fax:** (817) 722-6077
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 29 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (20), Clinical Social Worker (3), Mental Health Counselor (2); 4 practice at this address and 6 within 10 miles; [full list](https://npiprofile.com/npi/1043754526/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 4, 2022
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043754526) · Data from the CMS NPPES public registry.