Individual provider Active NPI

Paul R Tarnasky, M.D.

  • Gastroenterology Physician
  • Dallas, TX
National Provider Identifier
1083674832
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
K2602 Issued in TX
Practice address
221 W. Colorado Blvd .
Pavilion II Suite 630
Dallas, TX 75208
Phone
(469) 695-2035
Fax
(469) 695-2036
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X K2602 TX Primary

Addresses

Primary practice location

221 W. Colorado Blvd .
Pavilion II Suite 630
Dallas, TX 75208

Mailing address

221 W. Colorado Blvd .
Pavilion II Suite 630
Dallas, TX 75208
Phone (469) 695-2035

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
I20061205000508 TX Practitioner - Gastroenterology 4880693613 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Washington School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Associates of Southwest DallasGroup PAC ID 3274519293, 37 clinicians
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

122 W Colorado Blvd
Dallas, TX 75208-2382
Phone (214) 947-6700

1441 N Beckley Ave
Dallas, TX 75203-1201
Phone (214) 947-2455

221 W Colorado Blvd
Dallas, TX 75208-2393
Phone (469) 695-2035

Hospital & facility affiliations

  • Methodist Dallas Medical Center Hospital, Dallas, TX, CCN 450051

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy68
Upper gastrointestinal (GI) endoscopy for acid reflux123

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants PLLC Gastroenterology CurrentSince Jul 7, 2021 Accepting new patients
Physician Associates of Southwest Dallas CurrentSince Feb 1, 2012 Accepting new patients
Medhealth CurrentSince Dec 1, 2024 Accepting new patients
Medhealth Current Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology CurrentSince Jul 7, 2021 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology Current Accepting new patients

Locations

221 W Colorado Blvd
Ste 630
Dallas, TX 75208
Phone (214) 941-6891

122 W Colorado Blvd
Dallas, TX 75208
Phone (214) 947-6555

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

701 Tuscan Dr
Ste 110
Irving, TX 75039
Phone (214) 496-1100

7501 Lakeview Pkwy
Ste 260
Rowlett, TX 75088
Phone (972) 475-8183

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1734566400000",
    "number": "1083674832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W. COLORADO BLVD .",
            "address_2": "PAVILION II SUITE 630",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75208",
            "telephone_number": "469-695-2035",
            "fax_number": "469-695-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W. COLORADO BLVD .",
            "address_2": "PAVILION II SUITE 630",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75208",
            "telephone_number": "469-695-2035",
            "fax_number": "469-695-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARNASKY",
        "first_name": "PAUL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "K2602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.