Individual provider Active NPI

Richard Luis Vera, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Grapevine, TX
National Provider Identifier
1003866377
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
J1583 Issued in TX
Practice address
1615 Lancaster Dr
Suite #150
Grapevine, TX 76051-2111
Phone
(817) 421-0279
Fax
(817) 416-7490
NPI assigned
May 10, 2006
Last updated
Jan 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X J1583 TX Primary

Addresses

Primary practice location

1615 Lancaster Dr
Suite #150
Grapevine, TX 76051-2111

Mailing address

1615 Lancaster Dr
Suite #150
Grapevine, TX 76051-2111
Phone (817) 421-0279

Other identifiers 1

IdentifierTypeStateIssuer
036053-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040805000461 TX Practitioner - Pain ManagementPractitioner - Anesthesiology 2567433485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of Texas Medical Branch at Galveston, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard L. Vera MD, PAGroup PAC ID 9133190051, 4 clinicians

Practice addresses (Care Compare)

1615 Lancaster Dr
Grapevine, TX 76051-2111
Phone (817) 421-0279

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J1583TXMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard L. Vera MD, PA Pain Medicine CurrentSince Jul 1, 2004 Accepting new patients

Locations

804 Scott Nixon Memorial Dr
#D
Augusta, GA 30907

804 Scott Nixon Memorial Dr
Martinez, GA 30907

150 Bluff Ave
North Augusta, SC 29841
Phone (706) 736-1830

3600 Gaston Ave
Ste 360
Dallas, TX 75246
Phone (214) 820-7246

3000 Corporate Ct
Ste 400
Flower Mound, TX 75028
Phone (214) 647-6161

5575 Warren Pkwy
Frisco, TX 75034
Phone (214) 618-2000

5575 Warren Pkwy
Ste 220
Frisco, TX 75034
Phone (214) 618-3686

1615 Lancaster Dr
Ste 150
Grapevine, TX 76051
Phone (817) 421-0279

251 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 377-3433

Interoperability endpoints

  • Direct secure messaging: rvera456825@direct.sw.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1003866377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 LANCASTER DR",
            "address_2": "SUITE #150",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760512111",
            "telephone_number": "817-421-0279",
            "fax_number": "817-416-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 LANCASTER DR",
            "address_2": "SUITE #150",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760512111",
            "telephone_number": "817-421-0279",
            "fax_number": "817-416-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERA",
        "first_name": "RICHARD",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "J1583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036053-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.