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LUAR SANDOVAL PA-C
NPI 1821356114
Physician Assistant in Fort Worth, TX

Active since April 25, 2012PECOS EnrolledAccepts Medicare Assignment
201 COMMERCE ST, FORT WORTH, TX 76102(682) 610-7900 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2025, Jul 10, 2023, Jul 6, 2023 (3 updates tracked since 2023).

About Luar Sandoval Pa-c NPPES

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

LUAR SANDOVAL PA-C (NPI 1821356114) is an individual physician assistant in Fort Worth, Texas, licensed in Texas (PA17558) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Homestead, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1821356114
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameLUAR SANDOVALCredential: PA-C
Location Address201 COMMERCE STFort Worth, TX 76102-7206
Mailing Address700 N Pearl St Ste N510Dallas, TX 75201-2863 · (214) 580-7277
Phone(682) 610-7900
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateApril 25, 2012
Last NPPES UpdateAugust 14, 20253 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
✔ NPI 1821356114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in TX · PA17558✔ Licensed in FL · PA9116542
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedClinic/Center · Military Outpatient Operational (Transportable) ComponentTaxonomy 261QM1102X · License PA9116542 (FL)
201 COMMERCE ST, Fort Worth, TX 76102
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Secondary Practice Location 1

Location 129350 Coral Sea Blvd Bldg 600Homestead, FL 33039-0001 · Phone (786) 415-2052

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

Luar Sandoval Pa-c 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 ID648774851
PECOS Enrollment IDI20250919002754
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76102 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
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

YASMIN RANA HASEEN PA-C
Physician Assistant
201 COMMERCE ST
FORT WORTH, TX 76102
Tarrant County (682) 610-7900
SUNDANCE APOTHECARY, LP
Pharmacy (Community/Retail Pharmacy)
201 COMMERCE ST
FORT WORTH, TX 76102
Tarrant County (682) 285-1100
METROPLEX MEDICAL CENTRE - FORT WORTH
Family Medicine
201 COMMERCE ST
FT WORTH, TX 76102
Tarrant County (214) 580-7277
BRITNEY SMITH NP
Nurse Practitioner (Family)
201 COMMERCE ST
FORT WORTH, TX 76102
Tarrant County (682) 610-7900
JEMINI JITENDRA PATEL FNP-C
Nurse Practitioner (Family)
201 COMMERCE ST
FORT WORTH, TX 76102
Tarrant County (682) 610-7900

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 Luar Sandoval's NPI number?

The NPI number for Luar Sandoval is 1821356114. It was assigned to this individual provider in the NPPES registry on April 25, 2012.

Where is Luar Sandoval located?

Luar Sandoval practices at 201 Commerce St, Fort Worth, TX 76102. The listed phone number is (682) 610-7900.

What is Luar Sandoval's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Luar Sandoval enrolled in Medicare?

Yes. Luar Sandoval 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.

When was this NPI record last updated?

The NPPES record for Luar Sandoval was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.