MD TRUCARE PA
NPI 1043754526
Internal Medicine - Endocrinology, Diabetes & Metabolism in Grapevine, TX

Active since December 19, 2016CLIA Certified · 2 labs
823 IRA E WOODS AVE STE 200, GRAPEVINE, TX 76051(817) 722-6078(817) 722-6077 Get Directions Write a Review

NPPES record last updated: March 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2022, Jan 21, 2022, Dec 19, 2016 (3 updates tracked since 2016).

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

NPI1043754526
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameMD TRUCARE PA
Location Address823 IRA E WOODS AVE STE 200Grapevine, TX 76051-4096
Mailing AddressPo Box 93685Southlake, TX 76092-0116 · (218) 205-0198 · Fax (817) 722-6077
Fax(817) 722-6077
Organization SubpartNo
Authorized OfficialAyesha EbrahimCeo · (218) 205-0198
Enumeration DateDecember 19, 2016
Last NPPES UpdateMarch 4, 20223 updates tracked since enumeration
NPPES CertifiedMarch 4, 2022
NPI 1043754526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
823 IRA E WOODS AVE STE 200, Grapevine, TX 76051

Secondary Practice Location 1

Location 110640 N Riverside Dr Ste 300Fort Worth, TX 76244-9507 · Phone (817) 722-6078 · Fax (817) 722-6077

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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, TX
Active · expires Aug 10, 2026
CLIA Number45D2266492
Laboratory TypePhysician Office
Certificate Effective DateAugust 11, 2024
Certificate Expiration DateAugust 10, 2026
Laboratory DirectorImran S. Khawaja
Laboratory Phone(817) 722-6078
Laboratory LocationMD Trucare10640 N Riverside Dr Suite 300, Fort Worth, TX 76244
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2165884

MD Trucare, PA · Grapevine, TX
Active · expires May 6, 2027
CLIA Number45D2165884
Laboratory TypePhysician Office
Certificate Effective DateMay 7, 2025
Certificate Expiration DateMay 6, 2027
Laboratory DirectorImran S. Khawaja
Laboratory Phone(817) 722-6078
Laboratory LocationMD Trucare, PA823 Ira E Woods Suite 200, Grapevine, TX 76051
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
823 IRA E WOODS AVE STE 200
GRAPEVINE, TX 76051
Marriage & Family Therapist
823 IRA E WOODS AVE STE 200
GRAPEVINE, TX 76051
Nurse Practitioner (Psychiatric/Mental Health)
823 IRA E WOODS AVE STE 200
GRAPEVINE, TX 76051
Nurse Practitioner (Psychiatric/Mental Health)
823 IRA E WOODS AVE STE 200
GRAPEVINE, TX 76051
Nurse Practitioner (Psychiatric/Mental Health)
823 IRA E WOODS AVE STE 200
GRAPEVINE, TX 76051

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 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.

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 Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers 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 with the weekly NPPES data releases published by CMS.