Active NPI
Alfred Di Stefano, MD
- Hematology & Oncology Physician
- Arlington, TX
National Provider Identifier
1104828664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- E7891
- Practice address
- 906 W Randol Mill Rd
Arlington, TX 76012-2510 - Phone
- (817) 261-0929
- Fax
- (817) 265-7968
- NPI assigned
- Aug 15, 2005
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | E7891 | TX | Primary |
Addresses
Primary practice location
906 W Randol Mill Rd
Arlington, TX 76012-2510
Mailing address
906 W Randol Mill Rd
Arlington, TX 76012-2510
Phone (817) 261-4906
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100477204 | Medicaid | TX | |
| 100477202 | Medicaid | TX | |
| 100477205 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.12 of 100
- Quality
- 67.48
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E7891 | TX | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metroplex Hematology Oncology Associates | Past | Accepting new patients |
Interoperability endpoints
- alfreddistefano@directaddress.net
- alfred.distefano@txo.ikm.direct-ci.com
Organizations & group practices 1
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.
-
- Radiation Oncology Clinic/Center
- Arlington, TX
- NPI 1396747747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505692800000",
"number": "1104828664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 W RANDOL MILL RD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760122510",
"telephone_number": "817-261-4906",
"fax_number": "817-543-4675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 W RANDOL MILL RD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760122510",
"telephone_number": "817-261-0929",
"fax_number": "817-265-7968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DI STEFANO",
"first_name": "ALFRED",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2017-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TX",
"license": "E7891",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100477204",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100477202",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100477205",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.