Individual provider Active NPI

Traci K Radford, MD

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1194744466
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J4459 Issued in TX
Practice address
4144 N Central Expy
Ste 450
Dallas, TX 75204-3140
Phone
(214) 821-8055
Fax
(214) 821-3661
NPI assigned
Jul 18, 2006
Last updated
Aug 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J4459 TX Primary

Addresses

Primary practice location

4144 N Central Expy
Ste 450
Dallas, TX 75204-3140

Mailing address

4144 N Central Expy
Ste 450
Dallas, TX 75204-3140
Phone (214) 821-8055

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
I20080328000486 TX Practitioner - Internal Medicine 3375629496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12801 N Central Expy
Suite 475
Dallas, TX 75243-1716
Phone (214) 821-8055

4144 N Central Expressway
Suite 450
Dallas, TX 75204-3132

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
28.03 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
73.43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Airrosti Rehab Centers, LLC PastSince Jan 3, 1994 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: radfordandassociates.traciradford@156150.advancedmd-direct.com

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1194744466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 N CENTRAL EXPY",
            "address_2": "STE 450",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043140",
            "telephone_number": "214-821-8055",
            "fax_number": "214-821-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 N CENTRAL EXPY",
            "address_2": "STE 450",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043140",
            "telephone_number": "214-821-8055",
            "fax_number": "214-821-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADFORD",
        "first_name": "TRACI",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J4459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.