Valley Ranch Internal Medicine, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M8598 Issued in TX

Legal business name

VALLEY RANCH INTERNAL MEDICINE, PLLC

Practice address

9901 Valley Ranch Pkwy E Ste 2073
Irving, TX 75063-7191

Phone

(972) 505-3401

Fax

(214) 377-8833

NPI assigned

Nov 16, 2017

Organization subpart

No

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

Authorized official

Name

Vijaya Shree Chintala, MDNPI 1548339526

Title

MD

Phone

(972) 505-3401

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vijaya Shree Chintala, MD

  • Internal Medicine Physician
  • Irving, TX
  • NPI 1548339526
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1073026704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 VALLEY RANCH PKWY E STE 2073",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637191",
            "telephone_number": "972-505-3401",
            "fax_number": "214-377-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 VALLEY RANCH PKWY E STE 2073",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637191",
            "telephone_number": "972-505-3401",
            "fax_number": "214-377-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY RANCH INTERNAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "CHINTALA",
        "authorized_official_first_name": "VIJAYA SHREE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "972-505-3401",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M8598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond A Vallera, M.D.
• Valley Ranch Deluxe Senior Living
• Valley Ranch Dental Associates PLLC
• Valley Ranch Eye Care
• Valley Ranch Family Dentistry
• Valley Ranch Pediatrics PA
• Alexandra Adriene Vallo, OTR
• Karen Valteau-Williams, LCSW
• Annette Ione Van Natta, D.D.S.
• Stephanie Van Wig, M.A., L.P.C.

• Internal Medicine Physician in Irving, TX
• Providers in Irving, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.

Verify at the official NPI Registry.