Individual provider Active NPI

Rufino Gerona Talatala, MD

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1093824153
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K8509 Issued in TX
Practice address
12895 Josey LN Ste 120
Dallas, TX 75234-8306
Phone
(972) 481-1881
Fax
(972) 481-1888
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K8509 TX Primary

Addresses

Primary practice location

12895 Josey LN Ste 120
Dallas, TX 75234-8306

Mailing address

4221 Medical Pkwy
BLDG 200, Suite 250
Carrollton, TX 75010
Phone (972) 492-0333

Other identifiers 1

IdentifierTypeStateIssuer
030188901MedicaidTX

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
I20101112000899 TX Practitioner - Internal Medicine 2062607229 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

1948 E Hebron Parkway
110 Wellmed at Hebron
Carrollton, TX 75007
Phone (972) 939-4646

900 Airport Fwy
Suite 158
Hurst, TX 76054-3253
Phone (817) 514-4000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Jun 17, 2024 Accepting new patients
Rufino G. Talatala, M.D., P.a. Internal Medicine CurrentSince Sep 1, 2001 Accepting new patients
Wellmed Medical Group, PA Internal Medicine CurrentSince Jun 17, 2024 Accepting new patients

Locations

2245 Marsh Ln
Carrollton, TX 75006
Phone (847) 989-0123

4221 Medical Pkwy
Ste 250
Carrollton, TX 75010
Phone (972) 492-0333

1948 E Hebron Pkwy
Ste 110
Carrollton, TX 75007
Phone (972) 492-0333

12895 Josey Ln
Ste 120
Farmers Branch, TX 75234
Phone (972) 481-1881

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

Interoperability endpoints

  • Direct secure messaging: rufino.talatala@wellmed.eclinicaldirectplus.com

Organizations & group practices 4

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 4

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1093824153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 MEDICAL PKWY",
            "address_2": "BLDG 200, SUITE 250",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75010",
            "telephone_number": "972-492-0333",
            "fax_number": "972-394-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12895 JOSEY LN STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752348306",
            "telephone_number": "972-481-1881",
            "fax_number": "972-481-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALATALA",
        "first_name": "RUFINO",
        "middle_name": "GERONA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K8509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030188901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.