Individual provider Active NPI

Andrew J Applewhite, MD

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Dallas, TX
National Provider Identifier
1063472991
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
L5228 Issued in TX
Practice address
3500 Gaston Ave
Suite 210 Barnett
Dallas, TX 75246-2017
Phone
(214) 820-4400
Fax
(214) 820-4422
NPI assigned
Mar 24, 2006
Last updated
Jan 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L5228 TX
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X L5228 TX Primary

Addresses

Primary practice location

3500 Gaston Ave
Suite 210 Barnett
Dallas, TX 75246-2017

Mailing address

PO Box 225971
Dallas, TX 75222-5971
Phone (972) 786-0140

Other practice location 1

400 W Lyndon B Johnson Fwy Ste 130
Irving, TX 75063-3700
Phone (972) 990-5222

Other identifiers 1

IdentifierTypeStateIssuer
8CD558OtherTXBCBS

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
I20070130000632 TX Practitioner - Family PracticePractitioner - Undersea and Hyperbaric Medicine 3072514207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Undersea and Hyperbaric Medicine
Education
University of Texas Medical School at Houston, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aj Applewhite MD PAGroup PAC ID 3779621297, 2 clinicians

Practice addresses (Care Compare)

3500 Gaston Ave
Suite 210
Dallas, TX 75246-2017
Phone (214) 820-4400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
61.77 of 100Reported as individual
Quality
81.55
Improvement activities
0
Cost
75.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue72
Removal of skin lesions52

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aj Applewhite MD PA Family Medicine CurrentSince Sep 14, 2009 Accepting new patients
David Vanderpool MD PA CurrentSince Jun 1, 2016 Accepting new patients
Medical Specialists LTD Family Medicine Past Accepting new patients
Jeffrey a Stone DO PA Past Accepting new patients

Locations

3500 Gaston Ave
Ste 210
Dallas, TX 75246
Phone (214) 820-4400

400 W Lyndon B Johnson Fwy
Ste 130
Irving, TX 75063
Phone (972) 579-5222

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1063472991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 225971",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752225971",
            "telephone_number": "972-786-0140",
            "fax_number": "972-786-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 GASTON AVE",
            "address_2": "SUITE 210 BARNETT",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462017",
            "telephone_number": "214-820-4400",
            "fax_number": "214-820-4422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 W Lyndon B Johnson Fwy Ste 130",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750633700",
            "country_code": "US",
            "telephone_number": "972-990-5222",
            "fax_number": "972-990-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "APPLEWHITE",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L5228",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "TX",
            "license": "L5228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CD558",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.