Adam Gallardo Arredondo, M.D

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

K7648 Issued in TX

Practice address

128 N Highway 77
Waxahachie, TX 75165-1800

Phone

(972) 938-7319

Fax

(972) 923-9535

NPI assigned

Oct 31, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• A Medical Advantage Healthcare Systems Associated

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1477505592
  NPD (past)
• Denton Texas Health Management, PLLC

  dba Family Medical Center

  • Family Medicine Physician
  • Denton, TX
  • NPI 1730114869
  NPD (past)

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1194716001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 N HIGHWAY 77",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651800",
            "telephone_number": "972-938-7319",
            "fax_number": "972-923-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 N HIGHWAY 77",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651800",
            "telephone_number": "972-938-7319",
            "fax_number": "972-923-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARREDONDO",
        "first_name": "ADAM",
        "middle_name": "GALLARDO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K7648",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "K7648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1429474-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "8Z0632",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7035048",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Nneamaka Anyanwu
• Obioma Anyogu, APRN, FNP-BC
• Arise Behavioral and Wellness Health
• Arlington Orthopedic Associates PA
• Allyson Elizabeth Armas, WHNP
• Muhammad Ateeq Arshad, M.D.
• Ashlea P. Miller, PT, DPT, PLLC
• Alexandra Monika Asirvadam, LPC, LCDC
• Assuring Love Family Services LLC
• Jeffrey Albert Astbury, M.D.

• Anesthesiology Physician in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.