Individual provider Active NPI

Vance Allan Redfield, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Dallas, TX
National Provider Identifier
1073579025
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
H9408 Issued in TX
Practice address
3500 Gaston Ave
Dallas, TX 75246-2096
Phone
(214) 820-4012
Fax
(214) 820-7757
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X H9408 TX Primary

Addresses

Primary practice location

3500 Gaston Ave
Dallas, TX 75246-2096

Mailing address

3200 Caruth Blvd
Dallas, TX 75225-4819
Phone (214) 265-7323

Other identifiers 1

IdentifierTypeStateIssuer
00J07TMedicaidTX

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
I20110912000439 TX Practitioner - Pediatric MedicinePractitioner - Other (Physician) 8921279555 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H9408TXMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Texas Billing, Inc. Neonatal-Perinatal Medicine CurrentSince Apr 19, 2011 Accepting new patients
Baylor Medical Center at Irving Past Accepting new patients
Baylor University Medical Center Past Accepting new patients

Locations

3500 Gaston Ave
Dallas, TX 75246

2300 Marie Curie Dr
Garland, TX 75042
Phone (972) 487-5000

1901 N MacArthur Blvd
Irving, TX 75061
Phone (972) 484-5192

3001 George Bush Hwy
Ste 250
Richardson, TX 75082
Phone (888) 822-2855

6800 Scenic Dr
Rowlett, TX 75088
Phone (972) 412-2273

2400 N Interstate Highway 35 E
Waxahachie, TX 75165
Phone (469) 843-4000

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073579025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 CARUTH BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752254819",
            "telephone_number": "214-265-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 GASTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462096",
            "telephone_number": "214-820-4012",
            "fax_number": "214-820-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDFIELD",
        "first_name": "VANCE",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TX",
            "license": "H9408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00J07T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.