Active NPI
Richard F Virgilio, DO
- Family Medicine Physician
- Dallas, TX
National Provider Identifier
1083676563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M0599
- Practice address
- 214 W Colorado Blvd
Dallas, TX 75208-2326 - Phone
- (214) 941-4550
- Fax
- (214) 941-4562
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M0599 | TX | Primary |
Addresses
Primary practice location
214 W Colorado Blvd
Dallas, TX 75208-2326
Mailing address
214 W Colorado Blvd
Dallas, TX 75208-2326
Phone (214) 941-4550
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 175801301 | Medicaid | TX | |
| 8P5412 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M0599 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Medical Advantage Healthcare Systems Associated | Family Medicine | Past | Accepting new patients |
| Denton Texas Health Management, PLLC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1477505592
-
- Family Medicine Physician
- Denton, TX
- NPI 1730114869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255564800000",
"number": "1083676563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 W COLORADO BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752082326",
"telephone_number": "214-941-4550",
"fax_number": "214-941-4562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 W COLORADO BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752082326",
"telephone_number": "214-941-4550",
"fax_number": "214-941-4562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIRGILIO",
"first_name": "RICHARD",
"middle_name": "F",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2009-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "M0599",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "175801301",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8P5412",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.