Edward E Icaza MD PA
NPI 1033295142 · Neurology Physician · Fort Worth, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edward E Icaza MD PA is a Neurology Physician organization in Fort Worth, TX (NPI 1033295142).
Provider details
- NPI number
- 1033295142
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edward Icaza, President(817) 615-9496
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Neurology Physician2084N0400X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Benbrook Neurology
Registry dates
- Enumerated
- 2006-10-31
- Last updated
- 2024-11-13
- Certified
- 2024-11-13
Frequently asked questions
- What is Edward E Icaza MD PA's NPI number?
- Edward E Icaza MD PA's National Provider Identifier (NPI) is 1033295142, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edward E Icaza MD PA?
- Edward E Icaza MD PA is classified in the NPPES registry as Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Edward E Icaza MD PA located?
- Edward E Icaza MD PA's practice location on file with NPPES is 5801 Oakbend Trl Ste 270, Fort Worth, TX 76132-3922.
- What is Edward E Icaza MD PA's phone number?
- The practice phone number listed in the NPPES registry for Edward E Icaza MD PA is (817) 615-9496.
- Does Edward E Icaza MD PA accept Medicare?
- Edward E Icaza MD PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Edward E Icaza MD PA?
- The authorized official listed on Edward E Icaza MD PA's NPPES record is Edward Icaza, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edward E Icaza MD PA's NPI active?
- Yes — Edward E Icaza MD PA's NPI (1033295142) is active in the NPPES registry as of the last update on 2024-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.