CAREFIRST MEDICAL ASSOCIATES AND PAIN REHABILITATION, PA
NPI 1114953767
Family Medicine in Tyler, TX

Active since June 24, 2006
13027 STATE HIGHWAY 155 S, TYLER, TX 75703(903) 839-1000(903) 839-4000 Get Directions Write a Review

NPPES record last updated: August 16, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carefirst Medical Associates And Pain Rehabilitation, Pa NPPES

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

CAREFIRST MEDICAL ASSOCIATES AND PAIN REHABILITATION, PA (NPI 1114953767) is a healthcare organization registered as a family medicine in Tyler, Texas and active in the NPI registry since June 2006. The organization lists Randall W Rodgers, Physician-president, as its authorized official.

NPPES Registry Identity

NPI1114953767
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCAREFIRST MEDICAL ASSOCIATES AND PAIN REHABILITATION, PA
Location Address13027 STATE HIGHWAY 155 STyler, TX 75703-6548
Mailing Address13027 State Highway 155 STyler, TX 75703-6548 · (903) 839-1000 · Fax (903) 839-4000
Fax(903) 839-4000
Organization SubpartNo
Authorized OfficialRandall W RodgersPhysician-president · (903) 839-1000
Enumeration DateJune 24, 2006
Last NPPES UpdateAugust 16, 2016
✔ NPI 1114953767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
13027 STATE HIGHWAY 155 S, Tyler, TX 75703

Other Identifiers 4

Other0076NHTX · Bcbs
Medicare PIN00W434TX
Other1114953767TX · Bcbstx
OtherDF1536TX · Railroad Medicare

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carefirst Medical Associates And Pain Rehabilitation, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20060504000838Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Carefirst Medical Associates And Pain Rehabilitation, PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1124491808
13027 STATE HIGHWAY 155 S
Tyler, TX 75703
(903) 839-1000
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1104852888
13027 STATE HIGHWAY 155 S
Tyler, TX 75703
(903) 839-1000
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1114898889
10798 COUNTY ROAD 152 W
Bullard, TX 75757
(559) 281-0778
✔ PECOS✔ Accepts Medicare9.3 mi

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

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 Carefirst Medical Associates And Pain Rehabilitation, PA's NPI number?

The NPI number for Carefirst Medical Associates And Pain Rehabilitation, PA is 1114953767. It was assigned to this organization in the NPPES registry on June 24, 2006.

Where is Carefirst Medical Associates And Pain Rehabilitation, PA located?

Carefirst Medical Associates And Pain Rehabilitation, PA is located at 13027 State Highway 155 S, Tyler, TX 75703. The listed phone number is (903) 839-1000.

What is Carefirst Medical Associates And Pain Rehabilitation, PA's specialty?

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

Is Carefirst Medical Associates And Pain Rehabilitation, PA enrolled in Medicare?

Yes. Carefirst Medical Associates And Pain Rehabilitation, PA is registered in the Medicare PECOS enrollment system.

When is Carefirst Medical Associates And Pain Rehabilitation, PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Carefirst Medical Associates And Pain Rehabilitation, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Carefirst Medical Associates And Pain Rehabilitation, PA, in Family Practice and Nurse Practitioner. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Carefirst Medical Associates And Pain Rehabilitation, PA was last updated on August 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.