Individual provider Active NPI

Anthony Vito Maioriello, MD, MS, FAANS, FACS

  • Neurological Surgery Physician
  • Dallas, TX
National Provider Identifier
1366432932
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
L8424 Issued in TX
Practice address
8230 Walnut Hill LN Ste 514
Dallas, TX 75231-4407
Phone
(214) 345-2929
Fax
(214) 345-2905
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X L8424 TX Primary

Addresses

Primary practice location

8230 Walnut Hill LN Ste 514
Dallas, TX 75231-4407

Mailing address

8230 Walnut Hill LN Ste 514
Dallas, TX 75231-4407
Phone (214) 345-2929

Other identifiers 1

IdentifierTypeStateIssuer
1429191MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MO2 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
I20100924000450 TX Practitioner - Neurosurgery 9234128141 Reassigns benefits to 3 organizations
I20240808000451 MO Practitioner - Neurosurgery 9234128141 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Rush Medical College of Rush University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shannon ClinicGroup PAC ID 0840103727, 550 clinicians
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians
Mercy Clinic Surgical Specialists LLCGroup PAC ID 1153455076, 180 clinicians

Practice addresses (Care Compare)

120 E Harris Ave
San Angelo, TX 76903-5904
Phone (325) 747-6741

1229 E Seminole St
Springfield, MO 65804-2227
Phone (417) 820-5150

621 S New Ballas Rd
Suite 297
Saint Louis, MO 63141-8232
Phone (314) 251-6364

Hospital & facility affiliations

  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • Shannon Medical Center Hospital, San Angelo, TX, CCN 450571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Master of Science

State licenses

LicenseStateTypeSpecialty
35143IAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Feb 4, 2019 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
University of Texas Southwestern Medical Center at Dallas Neurological Surgery CurrentSince Feb 4, 2019 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jan 6, 2025 Accepting new patients
Mercy Clinic Surgical Specialists, LLC CurrentSince Jul 18, 2024 Accepting new patients
Shannon Clinic Neurological Surgery CurrentSince Sep 1, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jan 6, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jan 6, 2025 Accepting new patients
Healthtexas Provider Network CurrentSince Nov 15, 2021 Accepting new patients
Healthtexas Provider Network CurrentSince Nov 15, 2021 Accepting new patients
Quad City Neurosurgical Associates PC Neurological Surgery Past Accepting new patients

Locations

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

621 S New Ballas Rd
Ste 298A
Saint Louis, MO 63141
Phone (314) 251-6830

621 S New Ballas Rd
Ste 297
Saint Louis, MO 63141

621 S New Ballas Rd
Ste 3005B
Saint Louis, MO 63141
Phone (314) 251-7070

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

8230 Walnut Hill Ln
Ste 514
Dallas, TX 75231
Phone (214) 691-9777

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

4716 Alliance Blvd
Ste 700
Plano, TX 75093
Phone (469) 800-6069

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511

120 E Harris Ave
San Angelo, TX 76903
Phone (325) 653-6741

Interoperability endpoints

  • Direct secure messaging: amaioriello885261@direct.sw.org

Organizations & group practices 12

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.

Hospital & facility affiliations 3

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1366432932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 WALNUT HILL LN STE 514",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314407",
            "telephone_number": "214-345-2929",
            "fax_number": "214-345-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 WALNUT HILL LN STE 514",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314407",
            "telephone_number": "214-345-2929",
            "fax_number": "214-345-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIORIELLO",
        "first_name": "ANTHONY",
        "middle_name": "VITO",
        "credential": "MD, MS, FAANS, FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "L8424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1429191",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.