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MRS. ROSALIA NJERI MBUGUA MD
NPI 1255599767
Emergency Medicine in Fort Worth, TX

Active since May 30, 2008PECOS EnrolledAccepts Medicare Assignment
82.14/100
CMS Quality Rating
1575 MAIN ST, FORT WORTH, TX 76104(817) 927-1100 Get Directions Write a Review

NPPES record last updated: June 2, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Rosalia Njeri Mbugua Md NPPES

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

MRS. ROSALIA NJERI MBUGUA MD (NPI 1255599767) is an individual emergency medicine provider in Fort Worth, Texas, licensed in Texas (R0754) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Palo Pinto General Hospital, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2015).

NPPES Registry Identity

NPI1255599767
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameMRS. ROSALIA NJERI MBUGUACredential: MD
Location Address1575 MAIN STFort Worth, TX 76104
Mailing Address1500 S Main StreetFort Worth, TX 76104 · (817) 702-1407
Phone(817) 927-1100
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2015
Enumeration DateMay 30, 2008
Last NPPES UpdateJune 2, 2017
✔ NPI 1255599767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · R0754
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1575 MAIN ST, Fort Worth, TX 76104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Rosalia Njeri Mbugua Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901946490
PECOS Enrollment IDI20171127001807
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
180 services175 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
154 services139 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
49 services49 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
49 services49 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Palo Pinto General Hospital

Acute Care Hospitals · Mineral Wells, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450565
Location400 Southwest 25 AveMineral Wells, TX 76067 · Palo Pinto County
Emergency services Birthing friendly

Medical City Denton

Acute Care Hospitals · Denton, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450634
Location3535 South I35 EastDenton, TX 76210 · Denton County
Emergency services

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Baylor Scott & White Medical Center - Centennial

Acute Care Hospitals · Frisco, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450885
Location12505 Lebanon RoadFrisco, TX 75035 · Collin County
Emergency services Birthing friendly

Medical City Alliance

Acute Care Hospitals · Fort Worth, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670103
Location3101 North Tarrant ParkwayFort Worth, TX 76177 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Improvement Activities40

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 Rosalia Mbugua's NPI number?

The NPI number for Rosalia Mbugua is 1255599767. It was assigned to this individual provider in the NPPES registry on May 30, 2008.

Where is Rosalia Mbugua located?

Rosalia Mbugua practices at 1575 Main St, Fort Worth, TX 76104. The listed phone number is (817) 927-1100.

What is Rosalia Mbugua's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Rosalia Mbugua enrolled in Medicare?

Yes. Rosalia Mbugua is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rosalia Mbugua accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Oscar Insurance Company list Rosalia Mbugua 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.

Is Rosalia Mbugua affiliated with any hospitals?

According to CMS data, Rosalia Mbugua is affiliated with Palo Pinto General Hospital, Medical City Denton, Medical City Plano, Baylor Scott & White Medical Center - Centennial and Medical City Alliance.

When was this NPI record last updated?

The NPPES record for Rosalia Mbugua was last updated on June 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.