Individual provider Active NPI

Alma N Medina Delgado, MD

  • Pediatrics Physician
  • Arlington, TX
National Provider Identifier
1114909645
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
J1168 Issued in TX
Practice address
1525 S Cooper St
Arlington, TX 76010-4105
Phone
(817) 804-1100
Fax
(817) 299-8790
NPI assigned
Nov 18, 2005
Last updated
Mar 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X J1168 TX Primary

Addresses

Primary practice location

1525 S Cooper St
Arlington, TX 76010-4105

Mailing address

PO Box 733784
Dallas, TX 75373-3784
Phone (682) 885-6163

Other names 1

  • Alma N Medina Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040515000471 TX Practitioner - Pediatric Medicine 4385634815 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J1168TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Children's Physician Network Pediatrics CurrentSince Jan 11, 2015 Accepting new patients
Cook Children's Physician Network Pediatrics CurrentSince Jan 11, 2015 Accepting new patients

Locations

1525 S Cooper St
Arlington, TX 76010
Phone (817) 804-1100

6421 McCart Ave
Fort Worth, TX 76133
Phone (817) 263-7500

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1114909645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733784",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733784",
            "telephone_number": "682-885-6163",
            "fax_number": "682-885-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 S COOPER ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760104105",
            "telephone_number": "817-804-1100",
            "fax_number": "817-299-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA DELGADO",
        "first_name": "ALMA",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J1168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALMA",
            "last_name": "MEDINA",
            "middle_name": "N",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.