Active NPI
Sandy Trevizo, DO
- Family Medicine Physician
- Mesquite, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- V0563
- Practice address
- 3228 Interstate 30 Ste 200
Mesquite, TX 75150-2633 - Phone
- (972) 216-5400
- Fax
- (972) 216-5405
- NPI assigned
- Apr 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | V0563 | TX | Primary |
Addresses
Primary practice location
3228 Interstate 30 Ste 200
Mesquite, TX 75150-2633
Mailing address
3228 Interstate 30 Ste 200
Mesquite, TX 75150-2633
Phone (972) 216-5400
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3228 Interstate 30
Suite 200
Mesquite, TX 75150-2633
Phone (972) 216-5400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V0563 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmed Medical Group, PA | Family Medicine | Current | Accepting new patients |
| Wellmed Medical Group, P.a. | Family Medicine | Current | Accepting new patients |
Locations
3228 Interstate 30
Ste 200
Mesquite, TX 75150
Phone (972) 216-5400
8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500
6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411
Interoperability endpoints
- sandy.trevizo@wellmed.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- San Antonio, TX
- NPI 1437156486
Family Medicine
-
- Family Medicine Physician
- Corpus Christi, TX
- NPI 1740588243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1023690153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3228 INTERSTATE 30 STE 200",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751502633",
"telephone_number": "972-216-5400",
"fax_number": "972-216-5405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3228 INTERSTATE 30 STE 200",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751502633",
"telephone_number": "972-216-5400",
"fax_number": "972-216-5405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREVIZO",
"first_name": "SANDY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-27",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "V0563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.