Individual provider Active NPI

Jorge Arturo Arzac, M.D.

  • Obstetrics & Gynecology Physician
  • Dallas, TX
National Provider Identifier
1306823661
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
J9954 Issued in TX
Practice address
221 W Colorado Blvd Ste 728
Dallas, TX 75208-2357
Phone
(214) 941-0100
Fax
(214) 941-7024
NPI assigned
Dec 28, 2005
Last updated
Jun 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X J9954 TX Primary

Addresses

Primary practice location

221 W Colorado Blvd Ste 728
Dallas, TX 75208-2357

Mailing address

221 W Colorado Blvd Ste 728
Dallas, TX 75208-2357
Phone (214) 941-0100

Other identifiers 4

IdentifierTypeStateIssuer
100308905MedicaidTX
100308901MedicaidTX
895989OtherAMERICAN BOARD OF OBSTETRICS AND GYNECOLOGY
J9954OtherTXPHYSICIAN PERMIT

Other names 1

  • Dr. Jorge Arturo Arzac-Riquelme Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211019002998 NJ Practitioner - Obstetrics/Gynecology 9133376171 Reassigns benefits to 1 organization
I20250221000760 NY Practitioner - Obstetrics/Gynecology 9133376171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

85 W Burnside Ave
Bronx, NY 10453-4015
Phone (718) 483-1270

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Heights Health Center, Inc. CurrentSince Nov 30, 2024 Accepting new patients
Morris Heights Health Center, Inc. CurrentSince Nov 30, 2024 Accepting new patients
Central Jersey Medical Center, Inc. CurrentSince Oct 18, 2021 Accepting new patients
Central Jersey Medical Center, Inc CurrentSince Oct 18, 2021 Accepting new patients
Morris Heights Health Center, Inc. Past Accepting new patients
Central Jersey Medical Center, Inc. Past Accepting new patients

Locations

80 Johnson Ave
Newark, NJ 07108
Phone (973) 623-8592

275 Hobart St
Perth Amboy, NJ 08861
Phone (732) 376-6635

85 W Burnside Ave
Bronx, NY 10453
Phone (718) 483-1270

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jorge.arzacriquelme.p1@direct.mhhc.nextgenshare.com

Organizations & group practices 8

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1306823661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W COLORADO BLVD STE 728",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082357",
            "telephone_number": "214-941-0100",
            "fax_number": "214-941-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W COLORADO BLVD STE 728",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082357",
            "telephone_number": "214-941-0100",
            "fax_number": "214-941-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARZAC",
        "first_name": "JORGE",
        "middle_name": "ARTURO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J9954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100308905",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100308901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD OF OBSTETRICS AND GYNECOLOGY",
            "identifier": "895989",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN PERMIT",
            "identifier": "J9954",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORGE",
            "last_name": "ARZAC-RIQUELME",
            "middle_name": "ARTURO",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.