Individual provider Active NPI

Juan Marcos Rendon, M.D.

  • Emergency Medicine Physician
  • Dallas, TX
National Provider Identifier
1346568979
Registry record updated Sep 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
P3804 Issued in TX
Practice address
5201 Harry Hines Blvd
Graduate Medical Education
Dallas, TX 75235-7708
Phone
(214) 590-8058
NPI assigned
May 6, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X P3804 TX Primary

Addresses

Primary practice location

5201 Harry Hines Blvd
Graduate Medical Education
Dallas, TX 75235-7708

Mailing address

5201 Harry Hines Blvd
Division of Emergency Medicine
Dallas, TX 75235-7708

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
I20130218000044 TX Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 3971757121 Reassigns benefits to 3 organizations
Practice locations: Allen, TX; Greenville, TX; Kaufman, TX; Rockwall, TX

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 1, 2013 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 1, 2013 Accepting new patients
Texas Medicine Resources, LLP Emergency Medicine CurrentSince Jul 1, 2013 Accepting new patients
Texas Physician Resources, LLP Emergency Medicine CurrentSince Feb 1, 2013 Accepting new patients
Texas Em-1 Medical Services, PA Emergency Medicine Past Accepting new patients
University of Texas Southwestern Medical Center at Dallas Past Accepting new patients

Locations

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

6363 Forest Park Rd
Ste 300
Dallas, TX 75235

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

2222 Welborn St
Dallas, TX 75219
Phone (214) 559-5000

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

4215 Ramsey Blvd E
Greenville, TX 75401
Phone (903) 408-1470

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

3150 Horizon Rd
Rockwall, TX 75032
Phone (469) 697-1000

Interoperability endpoints

  • Direct secure messaging: juan.rendon.1@18564.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348272000000",
    "number": "1346568979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 HARRY HINES BLVD",
            "address_2": "DIVISION OF EMERGENCY MEDICINE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 HARRY HINES BLVD",
            "address_2": "GRADUATE MEDICAL EDUCATION",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357708",
            "telephone_number": "214-590-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDON",
        "first_name": "JUAN",
        "middle_name": "MARCOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-06",
        "last_updated": "2012-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P3804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.