Individual provider Active NPI

Andrew Segal, MD

  • Cardiovascular Disease Physician
  • Arlington, TX
National Provider Identifier
1275689655
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G7000 Issued in TX
Practice address
801 Road to Six Flags W
Ste 123
Arlington, TX 76012-2616
Phone
(817) 261-7300
Fax
(817) 861-2004
NPI assigned
Jan 26, 2007
Last updated
Nov 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G7000 TX Primary

Addresses

Primary practice location

801 Road to Six Flags W
Ste 123
Arlington, TX 76012-2616

Mailing address

801 Road to Six Flags W Ste 123
Arlington, TX 76012-2615
Phone (817) 261-7300

Other identifiers 2

IdentifierTypeStateIssuer
1144263-02MedicaidTX
D762OtherTXBLUE CROSS

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
I20120202000069 TX Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 5193982155 Reassigns benefits to 1 organization
Practice locations: Arlington, TX

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Segal, MD, PA Cardiovascular Disease CurrentSince Dec 1, 2011 Accepting new patients

Locations

801 Road To Six Flags W
Ste 123
Arlington, TX 76012
Phone (817) 261-7300

Organizations & group practices 1

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1275689655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ROAD TO SIX FLAGS W STE 123",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122615",
            "telephone_number": "817-261-7300",
            "fax_number": "817-861-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ROAD TO SIX FLAGS W",
            "address_2": "STE 123",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122616",
            "telephone_number": "817-261-7300",
            "fax_number": "817-861-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGAL",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "G7000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144263-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "D762",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.