Individual provider Active NPI

Alexander A Gaidarski, MD

  • Emergency Medicine Physician
  • Dallas, TX
National Provider Identifier
1174533855
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
J8541 Issued in TX
Practice address
1441 N Beckley Ave
MMC Dallas
Dallas, TX 75203
Phone
(214) 942-5733
Fax
(214) 942-6115
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X J8541 TX Primary

Addresses

Primary practice location

1441 N Beckley Ave
MMC Dallas
Dallas, TX 75203

Mailing address

4040 N Central Expressway
#600
Dallas, TX 75204-3147
Phone (214) 520-5743

Other identifiers 2

IdentifierTypeStateIssuer
82945FOtherTXBLUE CROSS BLUE SHIELD
135302106MedicaidTX

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
I20110125000392 TX Practitioner - Emergency Medicine 5193904001 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.43 of 100Reported as group
Quality
93.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Ellis Emergency Physicians PLLC Emergency Medicine Past Accepting new patients

Locations

26795 US Highway 380 E
Aubrey, TX 76227
Phone (972) 347-5761

12500 South Fwy
Ste 100
Burleson, TX 76028
Phone (214) 294-6250

5500 Colleyville Blvd
Colleyville, TX 76034
Phone (214) 294-6350

3500 Gaston Ave
Dallas, TX 75246

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

511 W FM 544
Ste 100
Murphy, TX 75094
Phone (214) 294-6150

2600 E Pflugerville Pkwy
Ste 100
Pflugerville, TX 78660
Phone (512) 654-6100

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

1975 Alpha Dr
#100
Rockwall, TX 75087
Phone (214) 294-6200

1405 W Jefferson St
Waxahachie, TX 75165
Phone (972) 875-9000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1174533855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 N CENTRAL EXPRESSWAY",
            "address_2": "#600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043147",
            "telephone_number": "214-520-5743",
            "fax_number": "214-520-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 N BECKLEY AVE",
            "address_2": "MMC DALLAS",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75203",
            "telephone_number": "214-942-5733",
            "fax_number": "214-942-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAIDARSKI",
        "first_name": "ALEXANDER",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J8541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "82945F",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135302106",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.