Individual provider Active NPI

Iwona Rej

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1063970994
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140586 Issued in TX
Practice address
3434 W Illinois Ave Ste 306
Dallas, TX 75211-8813
Phone
(214) 623-1900
NPI assigned
Mar 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP140586 TX Primary

Addresses

Primary practice location

3434 W Illinois Ave Ste 306
Dallas, TX 75211-8813

Mailing address

3434 W Illinois Ave Ste 306
Dallas, TX 75211-8813
Phone (214) 623-1900

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200818000031 TX Practitioner - Nurse Practitioner 5092131375 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Topcare Medical Group Inc CurrentSince Jun 7, 2020 Accepting new patients
Topcare Medical PA PastSince Apr 22, 2014 Accepting new patients
Physicians for Children Past Accepting new patients

Locations

5334 Ross Ave
Ste 900A
Dallas, TX 75206
Phone (214) 884-1584

12377 Merit Dr
Ste 300
Dallas, TX 75251

3201 W Saner Ave
Dallas, TX 75233
Phone (214) 331-0567

410 E Pioneer Pkwy
Ste 300
Grand Prairie, TX 75051
Phone (469) 733-1890

122 W John Carpenter Fwy
Ste 420
Irving, TX 75039

222 Las Colinas Blvd W
Ste 2000
Irving, TX 75039

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1063970994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 W ILLINOIS AVE STE 306",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752118813",
            "telephone_number": "214-623-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 W ILLINOIS AVE STE 306",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752118813",
            "telephone_number": "214-623-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REJ",
        "first_name": "IWONA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.