Active NPI
Rufino G. Talatala, M.D., P.a.
- Internal Medicine Physician
- Carrollton, TX
National Provider Identifier
1053596460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- K8509
- Legal business name
- RUFINO G. TALATALA, M.D., P.A.
- Practice address
- 4221 Medical Pkwy
BLDG 200, Suite 250
Carrollton, TX 75010 - Phone
- (972) 492-0333
- Fax
- (972) 394-6585
- NPI assigned
- Jan 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rufino Gerona Talatala, M.D.
- Title
- President
- Phone
- (972) 492-0333
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | K8509 | TX | Primary |
Addresses
Primary practice location
4221 Medical Pkwy
BLDG 200, Suite 250
Carrollton, TX 75010
Mailing address
4221 Medical Pkwy
BLDG 200, Suite 250
Carrollton, TX 75010
Phone (972) 492-0333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008HD | Other | TX | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2245 Marsh Ln
Carrollton, TX 75006
Phone (847) 989-0123
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1093824153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474070400000",
"number": "1053596460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4221 MEDICAL PKWY",
"address_2": "BLDG 200, SUITE 250",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "75010",
"telephone_number": "972-492-0333",
"fax_number": "972-394-6585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4221 MEDICAL PKWY",
"address_2": "BLDG 200, SUITE 250",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "75010",
"telephone_number": "972-492-0333",
"fax_number": "972-394-6585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUFINO G. TALATALA, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-03",
"last_updated": "2016-09-17",
"status": "A",
"authorized_official_last_name": "TALATALA",
"authorized_official_first_name": "RUFINO",
"authorized_official_middle_name": "GERONA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "972-492-0333",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "K8509",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "008HD",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.