Individual provider Active NPI

Ivan Vrcek, M.D.

  • Ophthalmology Physician
  • Dallas, TX
National Provider Identifier
1184914806
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
Q2218 Issued in TX
Practice address
9301 N Central Expy Ste 595
Dallas, TX 75231-0812
Phone
(214) 522-7733
Fax
(214) 521-5433
NPI assigned
Apr 14, 2011
Last updated
Mar 23, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Ophthalmology Physician 207W00000X Q2218 TX Primary

Addresses

Primary practice location

9301 N Central Expy Ste 595
Dallas, TX 75231-0812

Mailing address

9301 N Central Expy Ste 595
Dallas, TX 75231-0812
Phone (214) 522-7733

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
I20141231001074 TX Practitioner - Ophthalmology 8921321704 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Southwestern Medical School at Dallas, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9301 N Central Expy
Suite 595
Dallas, TX 75231-0812
Phone (214) 522-7733

Merit-based Incentive Payment System (MIPS)

Final score
83.73 of 100Reported as individual
Quality
67.47
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince May 1, 2018 Accepting new patients
Ivan Vrcek MD PA CurrentSince May 12, 2017 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Ophthalmology CurrentSince May 1, 2018 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients

Locations

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

9301 N Central Expy
Ste 595
Dallas, TX 75231
Phone (214) 522-7733

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, 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": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1184914806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY STE 595",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310812",
            "telephone_number": "214-522-7733",
            "fax_number": "214-521-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY STE 595",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310812",
            "telephone_number": "214-522-7733",
            "fax_number": "214-521-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VRCEK",
        "first_name": "IVAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-14",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "Q2218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.