Organization Active NPI

New You Bariatric Center, PA

  • Surgery Physician
  • Irving, TX
National Provider Identifier
1255705109
Registry record updated Jun 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
NEW YOU BARIATRIC CENTER, PA
Practice address
7200 State Highway 161
Ste 120
Irving, TX 75039-4132
Phone
(214) 838-7171
Fax
(214) 838-7172
NPI assigned
Nov 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2017

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

Authorized official

Name
Carolyn Leigh Grace-Juarez
Title
Billing Manager
Phone
(214) 373-3183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

7200 State Highway 161
Ste 120
Irving, TX 75039-4132

Mailing address

8144 Walnut Hill LN
Ste 450
Dallas, TX 75231-4388
Phone (214) 373-3183

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170601000160 TX Part B Supplier - Clinic/Group Practice 0648547349 Receives reassigned benefits from 2 practitioners
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

1151 N Buckner Blvd
Ste 308
Dallas, TX 75218
Phone (214) 838-7171

7200 State Highway 161
Ste 120
Irving, TX 75039
Phone (214) 838-7171

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498003200000",
    "number": "1255705109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8144 WALNUT HILL LN",
            "address_2": "STE 450",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314388",
            "telephone_number": "214-373-3183",
            "fax_number": "214-361-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 STATE HIGHWAY 161",
            "address_2": "STE 120",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750394132",
            "telephone_number": "214-838-7171",
            "fax_number": "214-838-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YOU BARIATRIC CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2017-06-21",
        "status": "A",
        "authorized_official_last_name": "GRACE-JUAREZ",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "214-373-3183"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; 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.