Individual provider Active NPI

Aldo Elmer Rafael Yarihuaman, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Dallas, TX
National Provider Identifier
1043462609
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
P7335 Issued in TX
Practice address
621 N Hall St Ste 120
Dallas, TX 75226-1307
Phone
(469) 822-7760
Fax
(469) 800-7770
NPI assigned
Oct 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X P7335 TX
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 35.099738 OH
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 18881 ZZ
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X P7335 TX Primary

Addresses

Primary practice location

621 N Hall St Ste 120
Dallas, TX 75226-1307

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Other practice location 1

2401 S 31St St
Temple, TX 76508-0001
Phone (254) 724-2111

Other names 1

  • Mr. Aldo Elmer Rafael Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address arafael226589@direct.sw.org

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
I20131112001373 TX Practitioner - Thoracic Surgery 3274769740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

3500 Gaston Ave
FL 1
Dallas, TX 75246-2017
Phone (972) 817-6100

4001 Worth St
Dallas, TX 75246-1608

611 N Hall St
400 Baylor Scott and White Cardiology Consult
Dallas, TX 75226-1337
Phone (469) 800-7400

621 N Hall St
Suite 120
Dallas, TX 75226-1307
Phone (214) 820-6856

Hospital & facility affiliations

  • Baylor Scott & White Heart & Vascular Hospital - Dallas Hospital, Dallas, TX, CCN 450851
  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
  • Baylor Scott & White Medical Center- Waxahachie Hospital, Waxahachie, TX, CCN 450372
  • Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352
  • Navarro Regional Hospital Hospital, Corsicana, TX, CCN 450447

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)37
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P7335TXMDTransplant Surgery Physician
35.099738OHMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
18881ZZMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Oct 1, 2013 Accepting new patients
Healthtexas Provider Network CurrentSince Oct 1, 2013 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

621 N Hall St
Ste 120
Dallas, TX 75226
Phone (214) 820-1723

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1043462609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 N HALL ST STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752261307",
            "telephone_number": "469-822-7760",
            "fax_number": "469-800-7770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 S 31ST ST",
            "address_purpose": "LOCATION",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765080001",
            "country_code": "US",
            "telephone_number": "254-724-2111",
            "fax_number": "254-724-7603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAFAEL YARIHUAMAN",
        "first_name": "ALDO",
        "middle_name": "ELMER",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-15",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "TX",
            "license": "P7335",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "35.099738",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "ZZ",
            "license": "18881",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "P7335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arafael226589@direct.sw.org",
            "affiliation": "N",
            "address_1": "2401 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765080001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALDO",
            "last_name": "RAFAEL",
            "middle_name": "ELMER",
            "prefix": "MR.",
            "credential": "M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.