IntraCare Health Center – Family Medicine Physician, NPI 1568116291
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for IntraCare Health Center
6029 Belt Line Rd Ste 105
Dallas, TX 752547873
Phone: (855) 893-5637
Fax: (817) 666-3873
Type: Location
8 Medical Pkwy Ste 106
Farmers Branch, TX 752347839
Phone: (855) 893-5637
Fax: (817) 666-3873
Type: Location
750 Eureka St Ste B
Weatherford, TX 760866521
Phone: (940) 325-6831
Fax: (940) 325-6891
Type: Location
1604 Lancaster Dr
Grapevine, TX 760513544
Phone: (855) 893-5637
Fax: (817) 666-3873
Type: Location
2340 E Trinity Mills Rd Ste 250
Carrollton, TX 750061946
Phone: (855) 893-5637
Fax: (817) 666-3873
Type: Location
1752 Broad Park Cir N Ste 114
Mansfield, TX 760637824
Phone: (855) 893-5637
Fax: (817) 666-3873
Type: Location
4004 Medical Pkwy
Greenville, TX 754017854
Phone: (855) 893-5637
Fax: (817) 666-3873
Type: Location
36543 N Gantzel Rd Ste 102
San Tan Valley, AZ 851407347
Phone: (480) 401-1811
Fax: (480) 401-1812
Type: Location
4545 E Southern Ave Ste 103
Mesa, AZ 852062677
Phone: (480) 981-6100
Fax: (480) 981-5501
Type: Location
333 N Dobson Rd Ste 15
Chandler, AZ 852244412
Phone: (480) 282-8336
Fax: (480) 282-8365
Type: Location
1305 Airport Fwy Ste 405
Bedford, TX 760216607
Phone: (855) 893-5637
Fax: (817) 666-3873
Type: Location
3648 Old Denton Rd Ste 110
Carrollton, TX 750077980
Phone: (855) 893-5637
Fax: (817) 666-3873
Type: Location
7525 E Broadway Rd Ste 2
Mesa, AZ 852081154
Phone: (855) 893-5637
Fax: (817) 666-3873
Type: Location
5040 Tennyson Pkwy
Plano, TX 750243002
Phone: (855) 893-5637
Fax: (817) 666-3873
Type: Location
1625 N Grand Ave
Gainesville, TX 762402343
Phone: (940) 665-9863
Fax: (833) 450-6307
Type: Location
1455 W Chandler Blvd Ste 4
Chandler, AZ 852246177
Phone: (855) 893-5637
Fax: (817) 666-3873
Type: Location
3501 N Scottsdale Rd Ste 231
Scottsdale, AZ 852515649
Phone: (855) 893-5637
Fax: (817) 666-3873
Type: Location
4600 E Shea Blvd Ste 100
Phoenix, AZ 850286031
Phone: (602) 955-8700
Fax: (602) 553-8142
Type: Location
7400 S Power Rd Ste 140
Gilbert, AZ 852979284
Phone: (480) 590-1442
Fax: (480) 981-5501
Type: Location
10450 E Riggs Rd Ste 114
Sun Lakes, AZ 852487760
Phone: (480) 505-2450
Fax: (480) 505-2464
Type: Location
1604 LANCASTER DR
GRAPEVINE, TX 760513544
Phone: (855) 893-5637
Fax: (817) 666-3873
Type: Location
2340 E TRINITY MILLS RD STE 250
CARROLLTON, TX 750061946
Phone: (855) 893-5637
Fax: (817) 666-3873
Type: Mailing
2720 WESTERN CENTER BLVD STE 312
FORT WORTH, TX 761314302
Phone: (855) 893-5637
Fax: (817) 666-3873
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-11-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20220629003881 | O | Clinic/Group Practice | TX | TBD |
| O20231128002634 | O | Clinic/Group Practice | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75254)
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Reviews
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